Organization
PALMETTO IMAGING, INC
Active
Other names
Long Bay Diagnostic Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL J SCHAEFER (COO)
(770) 300-0101
Entity
Organization
Contact information
Practice address
900A 21ST AVE NORTH, MYRTLE BEACH, SC 29577-7483
(770) 300-0101
(770) 300-0429
Mailing address
PO BOX 933548, ATLANTA, GA 31193-3548
(770) 300-0101
(770) 300-0429
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
470000944
RAILROAD MEDICARE
SC
05
—
SL0049
—
SC
Enumeration date
05/03/2006
Last updated
06/16/2008
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