| NPI | 1134595200 |
|---|---|
| Former Legal Business Name | PALMETTO TMS, LLC |
| Entity Type | Organization |
| Authorized Contact | DON A DUBOSE CEO, Medical Director 803-851-0642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2022-02-17 |