| Organization Name: | PALMETTO FAMILY MEDICAL GROUP |
| NPI Number: | 1053396291 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT M. DURHAM (PRESIDENT) |
| Mailing Address: | 900 Greenville Dr Williamston |
| State: | SC US |
| Postal Code: | 296971130 |
| Phone Number: | 8648471818 |
| Fax Number: | 8648475706 |
| NPI Enumeration Date: | 12/09/2005 |
| NPI Last Update Date: | 12/06/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Multi-Specialty |
| Taxonomy Definition: | |