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Organization

PALMETTO HEALTH

Active
Parent organization
PALMETTO HEALTH
Other names
Easley General Surgeons
Organization subpart
Yes

Provider details

NPI number
Legal business name
PALMETTO HEALTH
Authorized official
MRS. SHIRLEY O PATTERSON (OFFICE MANAGER)
(864) 855-1644
Entity
Organization

Contact information

Practice address
403 HILLCREST DR, SUITE C, EASLEY, SC 29640-1207
(864) 855-1644
(864) 855-6101
Mailing address
403 HILLCREST DR, SUITE C, EASLEY, SC 29640-1207
(864) 855-1644
(864) 855-6101

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
572296052070
BLUE CROSS BLUE SHIELD
SC
05
PC6855
SC
Enumeration date
10/04/2006
Last updated
07/09/2008
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