Passport Health Holdings LLC

Organization Public Health & General Preventive Medicine Physician · NPI 1669802559

Passport Health Holdings LLC is a Public Health & General Preventive Medicine Physician in Mt Pleasant, South Carolina. Licensed in South Carolina. Registered with an NPI since 2013.

Licensed in: SC
In the registry since: 2013
Specialties on file: 3

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

260 W Coleman Blvd Ste B
Mt Pleasant, SC 29464-3666
Phone: (877) 358-8648
Fax: (877) 877-6875

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary)	Taxonomy 261Q00000X
Public Health & General Preventive Medicine Physician	Taxonomy 2083P0901X
Clinic/Center	Taxonomy 261Q00000X (SC)

Record details

NPI number	1669802559
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Paul Fishburn — Chief Operating Officer · (480) 646-9020
Other names	Pph Ohio Llc; Pph Ohio Llc
NPI enumerated	November 14, 2013
Last updated in NPPES	April 1, 2022
Certification date	April 1, 2022
Mailing address	668 N 44th St, Suite 100w, Phoenix, AZ 85008-6507