Organization
PALMETTO PAIN MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER HODGE (PRACTICE ADMINISTRATOR)
(803) 779-3263
Entity
Organization
Contact information
Practice address
2611 FOREST DR STE 200, COLUMBIA, SC 29204-2371
(803) 779-3263
(803) 779-3207
Mailing address
2611 FOREST DR STE 200, COLUMBIA, SC 29204-2371
(803) 779-3263
(803) 779-3207
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
13894
SC
Other
Enumeration date
05/22/2015
Last updated
12/13/2021
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