# PALMETTO FAMILY MEDICAL GROUP

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

## Provider details

- **NPI number:** 1053396291
- **Authorized official:** DR. ROBERT M. DURHAM D.C. (PRESIDENT)
- **Authorized official phone:** (864) 847-1818

## Contact information

- **Practice address:** 900 GREENVILLE DR, WILLIAMSTON, SC 29697-1130
- **Practice address phone:** (864) 847-1818
- **Practice address fax:** (864) 847-5706
- **Mailing address:** 900 GREENVILLE DR, WILLIAMSTON, SC 29697-1130
- **Mailing address phone:** (864) 847-1818
- **Mailing address fax:** (864) 847-5706

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 1600 | SC | Yes |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 12/09/2005
- **Last updated:** 12/06/2011