Healthcare Provider Details
I. General information
NPI: 1275547259
Provider Name (Legal Business Name): PALMETTO HEMATOLOGY ONCOLOGY PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/28/2006
Last Update Date: 06/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
100 PLAZA CIRCLE SUITE B
CLINTON SC
29325-7561
US
IV. Provider business mailing address
100 PLAZA CIRCLE SUITE B
CLINTON SC
29325-7561
US
V. Phone/Fax
- Phone: 864-938-0620
- Fax: 864-938-9830
- Phone: 864-938-0620
- Fax: 864-938-9830
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RH0003X |
| Taxonomy | Hematology & Oncology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
COLIN
P
CURRAN
Title or Position: MD/MANAGING PARTNER
Credential:
Phone: 864-560-7050