| Palmetto Family Medical Group | |
|
900 Greenville Dr Williamston SC 29697-1130 | |
| (864) 847-1818 | |
| (864) 847-5706 |
| Full Name | Palmetto Family Medical Group |
|---|---|
| Speciality | Chiropractor |
| Location | 900 Greenville Dr, Williamston, South Carolina |
| Authorized Official Name and Position | Robert M. Durham (PRESIDENT) |
| Authorized Official Contact | 8648471818 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Palmetto Family Medical Group 900 Greenville Dr Williamston SC 29697-1130 Ph: (864) 847-1818 | Palmetto Family Medical Group 900 Greenville Dr Williamston SC 29697-1130 Ph: (864) 847-1818 |
| NPI Number | 1053396291 |
|---|---|
| Provider Enumeration Date | 12/09/2005 |
| Last Update Date | 12/06/2011 |
| Medicare PECOS PAC ID | 3870582737 |
|---|---|
| Medicare Enrollment ID | O20040507000230 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053396291 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 111N00000X | Chiropractor | 1600 (South Carolina) | Primary |
| Provider Name | Robert Mack Durham |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1609850924 PECOS PAC ID: 9931198892 Enrollment ID: I20120105000628 |
Anmed Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16 Roberts Blvd, Williamston, SC 29697 Phone: 864-847-7323 Fax: 864-847-7543 | |
Palmetto Area Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 Greenville Dr, Suite B, Williamston, SC 29697 Phone: 864-840-9360 Fax: 864-847-5706 |