Provider Demographics
NPI:1093723926
Name:PALMETTO HEMATOLOGY ONCOLOGY PC
Entity Type:Organization
Organization Name:PALMETTO HEMATOLOGY ONCOLOGY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/MANAGING PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:COLIN
Authorized Official - Middle Name:P
Authorized Official - Last Name:CURRAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-560-7050
Mailing Address - Street 1:1330 BOILING SPRINGS ROAD
Mailing Address - Street 2:SUITE 1700
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29303-4201
Mailing Address - Country:US
Mailing Address - Phone:864-278-1400
Mailing Address - Fax:864-278-1401
Practice Address - Street 1:1330 BOILING SPRINGS ROAD
Practice Address - Street 2:SUITE 1700
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29303-4201
Practice Address - Country:US
Practice Address - Phone:864-278-1400
Practice Address - Fax:864-278-1401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-04
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCGP4450Medicaid
NC790270VOtherNC MEDICAID PROVIDER NUMBER
SCCD5663OtherRAILROAD MEDICARE
SC5172Medicare PIN
NC790270VOtherNC MEDICAID PROVIDER NUMBER
SC5172Medicare UPIN