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NPI Code Detail

MEDICARE: PALMETTO PHYSICAL MEDICINE

MEDICARE: PALMETTO PHYSICAL MEDICINE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208100000XPhysical Medicine & Rehabilitation Physician1311260131SC

General Provider Information

NPI Number : 1811319031
Entity Type Code : Organization
Provider Name (Legal Business Name) : PALMETTO PHYSICAL MEDICINE
Provider Business Mailing Address
First Line : 10 FINANCIAL BLVD
Second Line :
City : ANDERSON
State : SC
Zip : 29621-1770
Country : US
Telephone Number : 864-437-8930
Fax Number :
Provider Business Practice Location Address
First Line : 10 FINANCIAL BLVD
Second Line :
City : ANDERSON
State : SC
Zip : 29621-1770
Country : US
Telephone Number : 864-437-8930
Fax Number :
Authorized Official
Title or Position : CEO
Name : DR. NICHOLAS WINKLER
Credential :
Telephone Number : 864-225-8431
Provider Enumeration Date : 01/07/2014
Last Update Date : 12/18/2014

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Directions to “PALMETTO PHYSICAL MEDICINE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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