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Organization
PALMETTO BONE AND JOINT
Active
Organization
PALMETTO BONE AND JOINT
Active
Parent organization
PALMETTO BONE AND JOINT
Organization subpart
Yes
Provider details
NPI number
Legal business name
PALMETTO BONE AND JOINT
Authorized official
PHILLIP H MALNER DO (PHYSICIAN)
(864) 833-3046
Entity
Organization
Contact information
Practice address
104 ELLETT ROAD, CHAPIN, SC 29036
(803) 941-8096
(803) 345-6088
Mailing address
104 ELLETT ROAD, CHAPIN, SC 29036
(803) 941-8096
(803) 345-6088
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP0620
—
SC
Enumeration date
08/15/2019
Last updated
08/15/2019
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