Organization
PALMETTO HEALTH
Active
Other names
Medical Fragile Children's Program Easley
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS B ECKERT (DIRECTOR OF PFS)
(803) 296-2545
Entity
Organization
Contact information
Practice address
PALMETTO HEALTH, 200 FLEETWOOD DRIVE, EASLEY, SC 29640
(803) 296-2548
(803) 296-3040
Mailing address
PALMETTO HEALTH, 1807A EAST MAIN STREET, EASLEY, SC 29640
(803) 296-2548
(803) 296-3040
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DRC008
—
SC
Enumeration date
10/17/2006
Last updated
08/22/2020
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