Organization
PALMETTO RADIOLOGY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY GRAHAM MD (PRESIDENT)
(803) 534-0053
Entity
Organization
Contact information
Practice address
901 W GREENWOOD ST, ABBEVILLE, SC 29620-5678
(803) 534-0053
(803) 536-1198
Mailing address
PO BOX 388, ORANGEBURG, SC 29116-0388
(803) 534-0053
(803) 536-1198
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
11/16/2006
Last updated
08/22/2020
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