Revive Palmetto Llc

LBN: Revive Palmetto Llc
Revive Palmetto Llc is an health care organization with primary practice located at 206 Bluffton Rd Fl 2 , Bluffton SC 29910-6213. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as the primary health care specialty. Revive Palmetto Llc can be contacted via phone (843) 575-3308, or through Little, Jarrod Alexander via phone (843) 575-3308.

Contact Information

Primary practice address
206 Bluffton Rd Fl 2 Bluffton SC 29910-6213
Phone: (843) 575-3308
Fax: (502) 324-4035
Website:
Map and Directions
Authorized official contact:
Name: Little, Jarrod Alexander Doctor of Medicine (MD)
Phone: (843) 575-3308

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X

Profile Details

NPI number 1427815547
LBN Legal business name Revive Palmetto Llc
DBA Doing business as
Authorized official Little, Jarrod Alexander Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 5th, 2024
Last updated Mar 5th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427815547 NPPES
Kentucky Other 41316 KENTUCKY MEDICAL LICENSE
Kentucky Other 1023166139 KENTUCKY MEDICAL LICENSE
Kentucky Other MD90614 KENTUCKY MEDICAL LICENSE

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