Organization
PALMETTO INTERNAL MEDICINE & PRIMARY CARE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BALA KRISHNIAH MD (PHYSICIAN OWNER)
(864) 991-9015
Entity
Organization
Contact information
Practice address
300 W BUTLER RD, MAULDIN, SC 29662-2538
(864) 277-8300
(864) 288-8722
Mailing address
300 W BUTLER RD, MAULDIN, SC 29662-2538
(864) 277-8300
(864) 288-8722
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19652
SC
Other
Enumeration date
09/01/2010
Last updated
11/13/2012
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