Organization
PALMETTO SPINE & SPORTS MEDICINE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY ZGLESZEWSKI MD (PRESIDENT)
(843) 573-9997
Entity
Organization
Contact information
Practice address
3030 ASHLEY TOWN CENTER DR, STE. A-102, CHARLESTON, SC 29414-5664
(843) 573-9997
Mailing address
PO BOX 681789, FRANKLIN, TN 37068-1789
(615) 503-9000
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
02/21/2017
Last updated
02/21/2017
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