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PALMETTO HEALTH

Physicians - Surgery Plastic and Reconstructive Surgery

Sumter, South Carolina

Provider NPI: 1710342787

Organization Information:
Organization Name:  PALMETTO HEALTH


Practice Location:
115 N SUMTER ST SUITE 400 SUMTER, SC 29150 US
Tel: 803-774-7425  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N207V00000XPhysicians
Obstetrics & Gynecology
SC
N207X00000XPhysicians
Orthopaedic Surgery
SC
N208600000XPhysicians
Surgery
SC
N2086S0122XPhysicians
Surgery
SC
N208M00000XPhysicians
Hospitalist
SC
Y207Q00000XPhysicians
Family Medicine
SC

Other Provider Identifiers:

IssuerNumberStateType
GP7159SC05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



RECONSTRUCTIVE SURGERY JOBS SC - Page 1



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