Palmetto Internal Medicine Pa | |
1701 Devonshire Dr Suite #101 Columbia SC 29204 | |
(803) 254-2800 | |
(803) 254-2890 |
Full Name | Palmetto Internal Medicine Pa |
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Speciality | Internal Medicine |
Location | 1701 Devonshire Dr, Columbia, South Carolina |
Authorized Official Name and Position | James Richard Herman (MD) |
Authorized Official Contact | 8032542800 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Palmetto Internal Medicine Pa 1701 Devonshire Dr Suite #101 Columbia SC 29204 Ph: (803) 254-2800 | Palmetto Internal Medicine Pa 1701 Devonshire Dr Suite #101 Columbia SC 29204 Ph: (803) 254-2800 |
NPI Number | 1154423556 |
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Provider Enumeration Date | 09/05/2006 |
Last Update Date | 04/05/2011 |
Medicare PECOS PAC ID | 1951571512 |
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Medicare Enrollment ID | O20111111000196 |
Identifier | Type | State | Issuer |
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1154423556 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | James Richard Herman |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1396858858 PECOS PAC ID: 3779753330 Enrollment ID: I20111111000223 |
Northlake Family Medical Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3000 Ne Medical Park, Ste 101, Columbia, SC 29223 Phone: 803-419-5131 Fax: 803-419-5130 | |
Lagniappe Medical Clinics, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 74 Polo Rd, Columbia, SC 29223 Phone: 803-419-7780 Fax: 803-419-7781 | |