Palmetto Medical Group, Pllc

NPI #1922522150 in Waxhaw, North Carolina

Provider Information

NPI Number: 1922522150
Entity Type: Organization
Organization Name: Palmetto Medical Group, Pllc
Subpart: Yes (part of a larger organization)
Parent Organization: PALMETTO MEDICAL GROUP, PLLC
Primary Specialty: Internal Medicine
Enumeration Date: Jul 31, 2017
Last Updated: Jul 31, 2017

Practice Location

Address: 1505 FUNNY CIDE DR
City: Waxhaw
State: North Carolina
ZIP Code: 28173-7258
Phone: (803) 548-7007

Authorized Official

Name: AMIT G SHAH
Title: MD
Phone: (803) 548-7007

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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