Organization
PALMETTO BONE AND JOINT
Active
Parent organization
PALMETTO BONE AND JOINT
Organization subpart
Yes
Provider details
NPI number
Legal business name
PALMETTO BONE AND JOINT
Authorized official
PHILLIP H MALNER DO (PHYSICIAN)
(864) 833-3046
Entity
Organization
Contact information
Practice address
104 ELLETT ROAD, CHAPIN, SC 29036
(803) 941-8096
(803) 345-6088
Mailing address
104 ELLETT ROAD, CHAPIN, SC 29036
(803) 941-8096
(803) 345-6088
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP0620
—
SC
Enumeration date
08/15/2019
Last updated
08/15/2019
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