# PALMETTO WELLNESS AND WEIGHTLOSS MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013332600
- **Authorized official:** JENNIFER ASHLEY HARMON LPN (OFFICE MANAGER)
- **Authorized official phone:** (803) 646-5003

## Contact information

- **Practice address:** 1397 SILVER BLUFF RD, SUITE 200, AIKEN, SC 29803-8860
- **Practice address phone:** (803) 646-5003
- **Practice address fax:** (803) 226-0480
- **Mailing address:** 1397 SILVER BLUFF RD, SUITE 200, AIKEN, SC 29803-8860
- **Mailing address phone:** (803) 646-5003
- **Mailing address fax:** (803) 226-0480

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 18256 | SC | Yes |

## Other

- **Enumeration date:** 02/19/2014
- **Last updated:** 02/19/2014
