Organization
PALMETTO SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARAREH V BORHANIAN DMD (BUSINESS MANAGER)
(803) 324-5858
Entity
Organization
Contact information
Practice address
1578 CONSTITUTION BLVD, 01, ROCK HILL, SC 29732-3004
(803) 324-5858
(803) 324-5585
Mailing address
PO BOX 36548, ROCK HILL, SC 29732-0509
(803) 324-5858
(803) 324-5585
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
04/01/2006
Last updated
11/07/2007
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