Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Palmetto Moon Anesthesia, LLC

Organization Anesthesiology Physician · NPI 1477056794

Palmetto Moon Anesthesia, LLC is an Anesthesiology Physician in Orangeburg, South Carolina. Licensed in South Carolina. Registered with an NPI since 2018.

Licensed in
SC
In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3045 St Matthews Rd
Orangeburg, SC 29118
Phone: (843) 861-3671
Fax: (803) 490-1571
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 3877 (SC)

Record details

NPI number1477056794
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lindsey Clark — Employee/Member · (843) 861-3671
NPI enumeratedMarch 13, 2018
Last updated in NPPESMarch 13, 2018
Mailing address307 Winding Brook Dr, Cameron, SC 29030-8347

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