Healthcare Provider Details

I. General information

NPI: 1972548634
Provider Name (Legal Business Name): PALMETTO HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2006
Last Update Date: 04/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1351 CRESTVIEW RD
EASLEY SC
29642-2408
US

IV. Provider business mailing address

1351 CRESTVIEW RD
EASLEY SC
29642-2408
US

V. Phone/Fax

Practice location:
  • Phone: 864-855-5006
  • Fax: 864-850-1992
Mailing address:
  • Phone: 864-855-5006
  • Fax: 864-850-1992

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number
License Number State

VIII. Authorized Official

Name: MELISSA SEELBINDER
Title or Position: PRACTICE MANAGER
Credential:
Phone: 864-855-5006