Organization
PALMETTO FERTILITY, LLC
Active
Other names
CCRM Fertility
Organization subpart
No
Provider details
NPI number
Authorized official
MATT TYSON (DIRECTOR, MANAGED CARE CONTRACTING)
(615) 477-6677
Entity
Organization
Contact information
Practice address
700 EXECUTIVE CENTER DR STE 300, GREENVILLE, SC 29615-4555
(864) 412-1950
(864) 412-0640
Mailing address
700 EXECUTIVE CENTER DR STE 300, GREENVILLE, SC 29615-4555
(864) 412-1950
(864) 412-0640
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
06/11/2025
Last updated
04/01/2026
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