MEDICARE: PALMETTO IMAGING, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician

General Provider Information

NPI Number	:	1871763912
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PALMETTO IMAGING, INC

Provider Business Mailing Address
First Line	:	PO BOX 933548
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	31193-3548
Country	:	US
Telephone Number	:	770-300-0101
Fax Number	:	770-300-0429

Provider Business Practice Location Address
First Line	:	900A 21ST AVE NORTH
Second Line	:
City	:	MYRTLE BEACH
State	:	SC
Zip	:	29577-7483
Country	:	US
Telephone Number	:	770-300-0101
Fax Number	:	770-300-0429

Authorized Official
Title or Position	:	COO
Name	:	MR. DANIEL J SCHAEFER
Credential	:
Telephone Number	:	770-300-0101

Provider Enumeration Date	:	03/05/2008
Last Update Date	:	03/05/2008

Similar Medicare Providers

1114985397 — PALMETTO IMAGING, INC
Practice Location Address:

900A 21ST AVE NORTH
MYRTLE BEACH, SC
29577-7483

Practice Phone: 770-300-0101
Practice Fax: 770-300-0429

1083275366 — TIDELANDS AND MEDQUEST JOINT VENTURE, LLC
Practice Location Address:

900 21ST AVE N
MYRTLE BEACH, SC
29577-7483

Practice Phone: 843-916-1700
Practice Fax: 843-916-9460

1225815558 — ERICKA JOYCE YOUNG
Practice Location Address:

120 CAROLINA LAKE DR APT 104
DAYTONA BEACH, FL
32114-7483

Practice Phone: 305-742-9790
Practice Fax:

1629307145 — SOUTHERN HOME CARE SERVICES, INC.
Practice Location Address:

1109 48TH AVE N , SUITE 111
MYRTLE BEACH, SC
29577-5417

Practice Phone: 800-866-0860
Practice Fax:

1235085440 — AUDIOLOGY SERVICES COMPANY USA, LLC
Practice Location Address:

5913 N KINGS HWY
MYRTLE BEACH, SC
29577-2329

Practice Phone: 843-497-6156
Practice Fax:

1679429609 — MS. LATONA LARRAINE STAGGERS
Practice Location Address:

1229 38TH AVE N STE 391
MYRTLE BEACH, SC
29577-1313

Practice Phone: 855-832-6727
Practice Fax:

Directions to “PALMETTO IMAGING, INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.