Organization
PALMETTO PSYCHIATRY CONSULTANTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSE RALEY M.D. (OWNER)
(803) 764-3555
Entity
Organization
Contact information
Practice address
4500 FORT JACKSON BLVD STE 270, COLUMBIA, SC 29209-1119
(803) 764-3555
(803) 764-4418
Mailing address
4500 FORT JACKSON BLVD STE 270, COLUMBIA, SC 29209-1119
(803) 764-3555
(803) 764-4418
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Enumeration date
03/30/2011
Last updated
01/04/2024
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