Healthcare Provider Details

I. General information

NPI: 1659525509
Provider Name (Legal Business Name): PALMETTO INFUSCIENCE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2008
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

815 WEST AVE
NORTH AUGUSTA SC
29841-3453
US

IV. Provider business mailing address

815 WEST AVE
NORTH AUGUSTA SC
29841-3453
US

V. Phone/Fax

Practice location:
  • Phone: 877-546-3873
  • Fax: 877-846-3873
Mailing address:
  • Phone: 877-546-3873
  • Fax: 877-846-3873

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number StateSC

VIII. Authorized Official

Name: CARMEN SANDERS
Title or Position: INSURANCE CASE MANAGER
Credential:
Phone: 877-546-3873