Organization
PALMETTO DISABLILITY EVALUATIONS, INC.
Active
Other names
Charles B Thomas JR., Md Orthopaedic Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANICE U FOWLER (CREDENTIALING)
(864) 560-4475
Entity
Organization
Contact information
Practice address
535 WEST BUTLER RD, SUITE C, MAULDIN, SC 29662
(864) 277-9867
(864) 299-3442
Mailing address
535 W BUTLER RD, SUITE C, GREENVILLE, SC 29607-4833
(864) 277-9867
(864) 299-3442
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
SC12306
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123066
—
SC
01
—
DD8975
RR MEDICARE
SC
Enumeration date
06/16/2006
Last updated
10/27/2008
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