Organization
PALMETTO HEALTH
Active
Parent organization
PALMETTO HEALTH
Other names
Palmetto Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
PALMETTO HEALTH
Authorized official
KENDALL DURHAM (PATIENT FINANACIAL MANAGER)
(864) 855-5104
Entity
Organization
Contact information
Practice address
201 W A AVE, EASLEY, SC 29640-2051
(864) 855-5104
(864) 859-9362
Mailing address
201 W A AVE, EASLEY, SC 29640-2051
(864) 855-5104
(864) 859-9362
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4456
—
SC
Enumeration date
06/18/2006
Last updated
11/18/2008
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