Provider Demographics
NPI:1659353373
Name:PALMETTO SLEEP & DIAGNOSTIC, LLC
Entity Type:Organization
Organization Name:PALMETTO SLEEP & DIAGNOSTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:BARNES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-242-8884
Mailing Address - Street 1:527 MILLS AVE
Mailing Address - Street 2:SUITE 101-B
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29605-5602
Mailing Address - Country:US
Mailing Address - Phone:864-242-8884
Mailing Address - Fax:864-242-2585
Practice Address - Street 1:9657 OCEAN HWY
Practice Address - Street 2:SUITE 4-B
Practice Address - City:PAWLEYS ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29585-7425
Practice Address - Country:US
Practice Address - Phone:843-235-9831
Practice Address - Fax:864-235-9853
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic