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Organization
PALMETTO HEMATOLOGY ONCOLOGY PC
Active
Organization
PALMETTO HEMATOLOGY ONCOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES D BEARDEN MD (SENIOR PARTNER)
(864) 560-7050
Entity
Organization
Contact information
Practice address
380 SERPENTINE DRIVE, SUITE 200, SPARTANBURG, SC 29303-3041
(864) 560-7050
(864) 560-0800
Mailing address
380 SERPENTINE DR, SUITE 200, SPARTANBURG, SC 29303-3066
(864) 560-7050
(864) 560-0800
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
790270V
NORTH CAROLINA MEDICAID
NC
01
—
CD5663
RAILROAD MEDICARE
SC
05
—
GP1483
—
SC
Enumeration date
04/11/2006
Last updated
06/23/2008
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