Organization Name: | PALMETTO HEALTH |
NPI Number: | 1477725463 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES M BRIDGES (COO) |
Mailing Address: | 383 Mcgee St Bamberg |
State: | SC US |
Postal Code: | 290031338 |
Phone Number: | 8032450390 |
Fax Number: | 8032450083 |
NPI Enumeration Date: | 03/31/2008 |
NPI Last Update Date: | 03/31/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251V00000X |
License Number: | 056 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | SC |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Voluntary or Charitable |
Taxonomy Specialization: | |
Taxonomy Definition: |