Organization
PALMETTO MEDICAL SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL CURTIS DICKERSON (PRESIDENT)
(801) 787-6456
Entity
Organization
Contact information
Practice address
2300 NORTHSIDE XING STE C, MACON, GA 31210-2254
(843) 549-9003
(843) 542-9575
Mailing address
2300 NORTHSIDE XING STE C, MACON, GA 31210-2254
(843) 549-9003
(843) 542-9575
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DE1552
—
SC
Enumeration date
08/30/2006
Last updated
03/17/2018
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