Organization
THE PALMETTO PALACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOULANDA GIBBS EDD (EXECUTIVE DIRECTOR)
(843) 532-3169
Entity
Organization
Contact information
Practice address
217 FLAT ST E, ALLENDALE, SC 29810-4647
(843) 532-3169
Mailing address
PO BOX 21076, CHARLESTON, SC 29413-1076
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
12/11/2019
Last updated
12/11/2019
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