PALMETTO FAMILY MEDICINE NPI 1508825340

NPI Information

PALMETTO FAMILY MEDICINE is a primary care clinic center in Columbia, SC. PALMETTO FAMILY MEDICINE NPI is 1508825340. The provider is registered as an organization entity type.

The provider's business location address is:

109 BARTON CREEK COURT
COLUMBIA, SC
ZIP 29229-027
Phone: (803) 256-2286
Fax: (803) 343-2115

The provider's authorized official is J. Frank Martin .
The authorized official title is Physician and has the following contact phone number (803) 256-2286.

The enumeration date for this NPI number is 3/21/2006 and was last updated on 9/30/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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