Individual
DR. ROBERT OTIS PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6439 GARNERS FERRY RD, COLUMBIA, SC 29209-1638
(803) 776-4000
(803) 776-4000
Mailing address
6439 GARNERS FERRY RD, COLUMBIA, SC 29209-1638
(803) 776-4000
(803) 776-4000
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
22842
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00495129F
—
GA
01
—
152306631
TRICARE
—
01
—
58257864831902-B001
TRICARE
—
01
—
582578648PAL1
ENERGREEN
—
01
—
60016721
BCBS
AL
01
—
93425
BCBS
GA
01
—
9900705
CAID
AL
Enumeration date
11/13/2006
Last updated
08/23/2013
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