Healthcare Provider Details

I. General information

NPI: 1578898573
Provider Name (Legal Business Name): PALMETTO HYPERBARIC SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2009
Last Update Date: 10/08/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 RICHLAND MEDICAL PARK DR
COLUMBIA SC
29203-6863
US

IV. Provider business mailing address

PO BOX 7313
COLUMBIA SC
29202-7313
US

V. Phone/Fax

Practice location:
  • Phone: 803-434-7812
  • Fax: 803-434-3737
Mailing address:
  • Phone: 800-290-5309
  • Fax: 803-434-4354

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: DR. WILLIAM GERARD
Title or Position: OWNER/MANAGER
Credential: M.D.
Phone: 803-434-3319