Palmetto Urological Pa

LBN: Palmetto Urological Pa
Palmetto Urological Pa is an health care organization with primary practice located at 11 Park Creek Dr , Greenville SC 29605-4270. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Palmetto Urological Pa can be contacted via phone (864) 242-1220, or through Mitchell, Jennifer L via phone (864) 244-1220.

Contact Information

Primary practice address
11 Park Creek Dr Greenville SC 29605-4270
Phone: (864) 242-1220
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mitchell, Jennifer L
Phone: (864) 244-1220

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1184669376
LBN Legal business name Palmetto Urological Pa
DBA Doing business as
Authorized official Mitchell, Jennifer L
Entity Organization
Organization subpart 1 No
Enumeration date Jun 19th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184669376 NPPES
South Carolina MEDICAID PA0784-PA

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