| Palmetto Medical Group, Pllc | |
|
1505 Funny Cide Dr Waxhaw NC 28173-7258 | |
| (803) 548-7007 | |
| Not Available |
| Full Name | Palmetto Medical Group, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1505 Funny Cide Dr, Waxhaw, North Carolina |
| Authorized Official Name and Position | Amit G Shah (MD) |
| Authorized Official Contact | 8035487007 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Palmetto Medical Group, Pllc 1040 Edgewater Corporate Pkwy Ste 101 Indian Land SC 29707-4514 Ph: (803) 548-7007 | Palmetto Medical Group, Pllc 1505 Funny Cide Dr Waxhaw NC 28173-7258 Ph: (803) 548-7007 |
| NPI Number | 1922522150 |
|---|---|
| Provider Enumeration Date | 07/31/2017 |
| Last Update Date | 07/31/2017 |
| Medicare PECOS PAC ID | 5496823817 |
|---|---|
| Medicare Enrollment ID | O20241231002262 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922522150 | NPI | - | NPPES |
| 0 | Other | N/A |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Amit G Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740288323 PECOS PAC ID: 6709775562 Enrollment ID: I20050825000227 |
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Carolinas Physicians Network Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2700 Providence Rd S, Ste 300, Waxhaw, NC 28173 Phone: 704-243-2254 | |
Union Physicians Network Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2700 Providence Road South, Suite 225, Waxhaw, NC 28173 Phone: 704-226-0413 Fax: 704-296-5646 | |
Charlotte Medical Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2700 Providence Rd S, Suite 320, Waxhaw, NC 28173 Phone: 704-667-6750 Fax: 704-667-6751 | |
Novant Health Medical Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3614 Providence Rd S, Suite 100, Waxhaw, NC 28173 Phone: 704-384-8640 Fax: 704-384-8650 |