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Organization
PALMETTO HEALTH ALLIANCE EASLEY
Active
Organization
PALMETTO HEALTH ALLIANCE EASLEY
Active
Parent organization
PALMETTO HEALTH ALLIANCE EASLEY
Other names
Powdersville Medical Park
Organization subpart
Yes
Provider details
NPI number
Legal business name
PALMETTO HEALTH ALLIANCE EASLEY
Authorized official
MRS. KENDALL DURHAM (PATIENT FINANCIAL MANAGER)
(864) 855-5104
Entity
Organization
Contact information
Practice address
15 ROE RD, GREENVILLE, SC 29611-7423
(864) 295-2308
(864) 295-2635
Mailing address
PO BOX 2089, EASLEY, SC 29641-2089
(864) 855-5104
(864) 859-9362
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP2174
—
SC
Enumeration date
05/11/2006
Last updated
04/20/2008
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