Organization
PALMETTO HEALTH ALLIANCE
Active
Parent organization
PALMETTO HEALTH ALLIANCE
Other names
Easley Family Practice
Organization subpart
Yes
Provider details
NPI number
Legal business name
PALMETTO HEALTH ALLIANCE
Authorized official
KENDALL J DURHAM (FINANCIAL SERVICES REP-MANAGER)
(864) 855-5104
Entity
Organization
Contact information
Practice address
106 JOHN STREET, EASLEY, SC 29640
(864) 859-2220
(864) 859-5744
Mailing address
PO BOX 2089, EASLEY, SC 29641-2089
(864) 855-5104
(864) 859-9362
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/08/2007
Last updated
01/31/2008
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