Organization
PALMETTO HEALTH
Active
Parent organization
PALMETTO HEALTH
Other names
Medical Center of Easley
Organization subpart
Yes
Provider details
NPI number
Legal business name
PALMETTO HEALTH
Authorized official
KENDALL J DURHAM (FINANCIAL SERVICES REP-MANAGER)
(864) 855-5104
Entity
Organization
Contact information
Practice address
104 FLEETWOOD DRIVE, EASLEY, SC 29640
(864) 859-3998
(864) 855-1045
Mailing address
PO BOX 2089, EASLEY, SC 29641-2089
(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
—
DE1917
—
SC
Enumeration date
05/07/2007
Last updated
11/18/2008
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