| Palmetto Medicine, Llc | |
|
148 Waterloo St Sw Ste 3 Aiken SC 29801-3766 | |
| (803) 335-4362 | |
| Not Available |
| Full Name | Palmetto Medicine, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 148 Waterloo St Sw Ste 3, Aiken, South Carolina |
| Authorized Official Name and Position | Michael Harold Emmer Ii (OWNER) |
| Authorized Official Contact | 8035185781 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Palmetto Medicine, Llc 148 Waterloo St Sw Ste 3 Aiken SC 29801-3766 Ph: (803) 335-4362 | Palmetto Medicine, Llc 148 Waterloo St Sw Ste 3 Aiken SC 29801-3766 Ph: (803) 335-4362 |
| NPI Number | 1548725781 |
|---|---|
| Provider Enumeration Date | 02/01/2019 |
| Last Update Date | 02/01/2019 |
| Medicare PECOS PAC ID | 2769723709 |
|---|---|
| Medicare Enrollment ID | O20190401001335 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548725781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Michael H Emmer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245299072 PECOS PAC ID: 5698664100 Enrollment ID: I20040312000812 |
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