| Palmetto Dynamics | |
|
4112 Hartford St Columbia SC 29204-3025 | |
| (803) 234-2216 | |
| (866) 263-6551 |
| Full Name | Palmetto Dynamics |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4112 Hartford St, Columbia, South Carolina |
| Authorized Official Name and Position | James Kelvin Johnson (ADMINISTRATOR) |
| Authorized Official Contact | 8032342216 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palmetto Dynamics 7001 Saint Andrews Rd Ste 319 Columbia SC 29212-1137 Ph: (803) 234-2216 | Palmetto Dynamics 4112 Hartford St Columbia SC 29204-3025 Ph: (803) 234-2216 |
| NPI Number | 1972739258 |
|---|---|
| Provider Enumeration Date | 06/01/2009 |
| Last Update Date | 06/01/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972739258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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