| Organization Name: | PALMETTO AREA HEALTHCARE |
| NPI Number: | 1396191060 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHARON K DURHAM (OFFICE MANAGER) |
| Mailing Address: | 900 Greenville Dr Suite B Williamston |
| State: | SC US |
| Postal Code: | 296971130 |
| Phone Number: | 8648409360 |
| Fax Number: | 8648475706 |
| NPI Enumeration Date: | 05/11/2016 |
| NPI Last Update Date: | 05/11/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | SC19015 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | SC |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |