Provider Demographics
NPI:1881828184
Name:PALMETTO ANESTHESIA SERVICES OF AIKEN, LLC
Entity Type:Organization
Organization Name:PALMETTO ANESTHESIA SERVICES OF AIKEN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:A
Authorized Official - Last Name:HINER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-648-2840
Mailing Address - Street 1:806 OLEANDER DR SE
Mailing Address - Street 2:
Mailing Address - City:AIKEN
Mailing Address - State:SC
Mailing Address - Zip Code:29801-5166
Mailing Address - Country:US
Mailing Address - Phone:803-648-2840
Mailing Address - Fax:336-553-3994
Practice Address - Street 1:4211 TROLLEY LINE RD
Practice Address - Street 2:DEPT OF ANESTHESIA
Practice Address - City:AIKEN
Practice Address - State:SC
Practice Address - Zip Code:29801-2749
Practice Address - Country:US
Practice Address - Phone:803-648-2840
Practice Address - Fax:336-553-3994
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-14
Last Update Date:2009-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty