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PALMETTO PIRATE PROVISIONS, LLC 1285399154

Overview
Name: PALMETTO PIRATE PROVISIONS, LLC Specialty: Meals Provider Type of Practice: Organization Provider/Org: Medical School: Graduation year from medical school: Affiliation:
Specialties
Practice Type: Other Service Providers Classification: Meals Specialization: . Definition of Specialty: A public or privately owned facility providing meals to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
License & NPI
License #(s): , , , , License State(s): , , , ,
Addresses
Practice Location: PALMETTO PIRATE PROVISIONS, LLC,725 MEETING ST,WEST COLUMBIA,SC,291697304,US Mailing Address: PALMETTO PIRATE PROVISIONS, LLC,725 MEETING ST,WEST COLUMBIA,SC,291697304,US
Contact #
Practice location phone #: 8035307557 Practice location fax #: Mailing address Phone #: 8035307557 Mailing Address fax #: Authorized official Name/Telephone #:GREGORY, HUGH, MARTIN, CDM, CFPP, OWNER 8035307557
Misc
Date NPI was obtained: 11/04/2021 Last data data was updated: 11/04/2021 Insurances:
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