Palmetto Ped Gastro And Nut

NPI Provider: 1114081072
Contact Name: AMARNATH P RATNA
Position: OWNER
Phone: (803) 254-1006

Palmetto Ped Gastro And Nut Information:

Palmetto Ped Gastro And Nut organization have npi 1114081072, taxonomy code is 163WG0100X with license number is APN632 in . This Business address located in 2113 Adams Grv, Columbia, SC 29203 South Carolina.

Practice Location
Address: 2113 Adams Grv, Columbia, SC 29203
Phone: (803) 254-1006

Business Location
Address: 2113 Adams Grv, Columbia, SC 29203
Phone: (803) 254-1006
Fax: (803) 254-2090

Taxonomy

Taxonomy Code: 163WG0100X

License Number: APN632

License Number of State: SC

Primary Taxonomy Switch: Y

Enumeration Date: 12/21/2006

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