Provider Demographics
NPI:1316155112
Name:PINNACLE CAPITAL HOLDINGS
Entity type:Organization
Organization Name:PINNACLE CAPITAL HOLDINGS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:MORTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-541-0649
Mailing Address - Street 1:101 N PINE ST
Mailing Address - Street 2:SUITE 415
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29302-1685
Mailing Address - Country:US
Mailing Address - Phone:864-541-0649
Mailing Address - Fax:
Practice Address - Street 1:101 N PINE ST
Practice Address - Street 2:SUITE 415
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29302-1685
Practice Address - Country:US
Practice Address - Phone:864-541-0649
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-18
Last Update Date:2011-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCT48874Medicaid
SC8784Medicare PIN