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Contact Information

PALMETTO HEALTH
104 FLEETWOOD DRIVE
EASLEY, SC29640
 Phone: 864-859-3998
 Fax: 864-855-1045
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for PALMETTO HEALTH

NPI Number 1265645352
LBN Legal business name PALMETTO HEALTH
Authorized official KENDALL DURHAM - (FINANCIAL SERVICES REP-MANAGER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 05/07/2007
Last updated 11/18/2008 - About 18 years ago
Identifiers
SC Medicaid DE1917
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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