Healthcare Provider Details

I. General information

NPI: 1447555842
Provider Name (Legal Business Name): JUDD PALMER B.S. H.A.S
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/14/2011
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1211 WOODRUFF RD
GREENVILLE SC
29607-5737
US

IV. Provider business mailing address

1 SHEFLEYS RD
SIMPSONVILLE SC
29680-7809
US

V. Phone/Fax

Practice location:
  • Phone: 864-281-1557
  • Fax: 864-987-7048
Mailing address:
  • Phone: 503-799-6627
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number0706
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: