| Palmetto Health Alliance | |
|
15 Roe Road Greenville SC 29611 | |
| (864) 295-2308 | |
| (864) 295-2635 |
| Full Name | Palmetto Health Alliance |
|---|---|
| Speciality | Family Medicine |
| Location | 15 Roe Road, Greenville, South Carolina |
| Authorized Official Name and Position | Kendall J Durham (FINANCIAL SERVICE REP-MANAGER) |
| Authorized Official Contact | 8648555104 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palmetto Health Alliance Po Box 2089 Easley SC 29641-2089 Ph: (864) 855-5104 | Palmetto Health Alliance 15 Roe Road Greenville SC 29611 Ph: (864) 295-2308 |
| NPI Number | 1518170182 |
|---|---|
| Provider Enumeration Date | 05/08/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518170182 | NPI | - | NPPES |
| DE1915 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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