| Palmetto Health Partners Of Sc Llc | |
|
108 Commons Blvd Suite A Piedmont SC 29673-7766 | |
| (864) 747-7136 | |
| Not Available |
| Full Name | Palmetto Health Partners Of Sc Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 108 Commons Blvd, Piedmont, South Carolina |
| Authorized Official Name and Position | Bradley Williams (OWNER/ PARTNER) |
| Authorized Official Contact | 8647477136 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Palmetto Health Partners Of Sc Llc 2453 Lebanon Rd Pendleton SC 29670-8809 Ph: (864) 940-3682 | Palmetto Health Partners Of Sc Llc 108 Commons Blvd Suite A Piedmont SC 29673-7766 Ph: (864) 747-7136 |
| NPI Number | 1922789197 |
|---|---|
| Provider Enumeration Date | 07/28/2023 |
| Last Update Date | 08/03/2023 |
| Medicare PECOS PAC ID | 5496101016 |
|---|---|
| Medicare Enrollment ID | O20231102000093 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922789197 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Bradley Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528626041 PECOS PAC ID: 6103252002 Enrollment ID: I20200213001390 |
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