Healthcare Provider Details

I. General information

NPI: 1356355325
Provider Name (Legal Business Name): PALMETTO HEMATOLOGY ONCOLOGY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2006
Last Update Date: 06/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2755 SOUTH HIGHWAY 14 SUITE 2200
GREER SC
29650-4902
US

IV. Provider business mailing address

2755 SOUTH HIGHWAY 14 SUITE 2200
GREER SC
29650-4902
US

V. Phone/Fax

Practice location:
  • Phone: 864-849-9700
  • Fax: 864-849-9704
Mailing address:
  • Phone: 864-849-9700
  • Fax: 864-849-9704

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
IdentifierGP3381
Identifier TypeMEDICAID
Identifier StateSC
Identifier Issuer
# 2
Identifier790270V
Identifier TypeMEDICAID
Identifier StateNC
Identifier Issuer

VIII. Authorized Official

Name: COLIN P CURRAN
Title or Position: MD/MANAGING MD
Credential:
Phone: 864-560-7050