| The Palmetto Clinics, Llc | |
|
463 Calhoun Ave Ste A-2 Greenwood SC 29649-2063 | |
| (864) 377-8250 | |
| Not Available |
| Full Name | The Palmetto Clinics, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 463 Calhoun Ave Ste A-2, Greenwood, South Carolina |
| Authorized Official Name and Position | Donald B Worley (OWNER) |
| Authorized Official Contact | 8649233348 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Palmetto Clinics, Llc 506 S Adair St Clinton SC 29325-2802 Ph: (864) 923-3348 | The Palmetto Clinics, Llc 463 Calhoun Ave Ste A-2 Greenwood SC 29649-2063 Ph: (864) 377-8250 |
| NPI Number | 1508482050 |
|---|---|
| Provider Enumeration Date | 06/21/2020 |
| Last Update Date | 06/21/2020 |
| Medicare PECOS PAC ID | 4587087739 |
|---|---|
| Medicare Enrollment ID | O20200707003004 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508482050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Jennifer A Ebert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891937926 PECOS PAC ID: 4789721580 Enrollment ID: I20091028000062 |
| Provider Name | Kimberly Brooke Bishop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003455635 PECOS PAC ID: 9537537139 Enrollment ID: I20221201000387 |
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