| NPI | 1962471946 |
|---|---|
| Doing Business As | PALMETTO HEALTH SENIOR PRIMARY CARE PRACTICE |
| Entity Type | Organization |
| Authorized Contact | THOMAS WAYNE JACKSON Medical Director 803-434-1210 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Additional Taxonomies | 282NC0060X General Acute Care Hospital, Critical Access |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2008-03-04 |