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PALMETTO PAIN MANAGEMENT LLC NPI 1629457650


NPI Information

NPI: 1629457650
Provider Name: PALMETTO PAIN MANAGEMENT, LLC
Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization
Address:
2611 FOREST DR STE 200
COLUMBIA, SC
ZIP 29204
Phone: (803) 779-3263
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PALMETTO PAIN MANAGEMENT, LLC is a non pharmacy dispensing site in Columbia, SC. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) PALMETTO PAIN MANAGEMENT, LLC NPI is 1629457650. The provider is registered as an organization entity type.

The provider's business location address is:

2611 FOREST DR STE 200
COLUMBIA, SC
ZIP 29204-371
Phone: (803) 779-3263
Fax: (803) 779-3207

The provider's authorized official is Jennifer Hodge .
The authorized official title is Practice Administrator and has the following contact phone number (803) 779-3263.

The enumeration date for this NPI number is 5/22/2015 and was last updated on 12/13/2021.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332900000XNon-Pharmacy Dispensing Site13894SOUTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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