Individual
BRANDON W. PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP
Contact information
Practice address
3700 FOREST DR STE 200, COLUMBIA, SC 29204-4010
(803) 799-1922
(803) 799-6729
Mailing address
PO BOX 530062, ATLANTA, GA 30353-0062
(843) 695-6071
(843) 569-5879
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AC4441
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AA76258946
MEDICARE PTAN
SC
05
—
NP1854
—
SC
Enumeration date
03/03/2011
Last updated
06/10/2021
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