Organization
PALMETTO HEALTH
Active
Parent organization
PALMETTO HEALTH
Other names
Easley Family Practice & Internal Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
PALMETTO HEALTH
Authorized official
MRS. KENDALL DURHAM (PATIENT FINANCIAL MANAGER)
(864) 855-5104
Entity
Organization
Contact information
Practice address
106 JOHN STREET, EASLEY, SC 29640-1415
(864) 859-2220
(864) 859-5744
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
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP2406
—
SC
Enumeration date
05/11/2006
Last updated
08/13/2008
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