Provider Demographics
NPI:1295413169
Name:PALMETTO ANESTHESIOLOGY MEDICINE
Entity type:Organization
Organization Name:PALMETTO ANESTHESIOLOGY MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:Y
Authorized Official - Last Name:BEESBURG
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:803-312-2591
Mailing Address - Street 1:169 CAPTAIN LOWMAN RD
Mailing Address - Street 2:
Mailing Address - City:CHAPIN
Mailing Address - State:SC
Mailing Address - Zip Code:29036-8581
Mailing Address - Country:US
Mailing Address - Phone:803-312-2591
Mailing Address - Fax:
Practice Address - Street 1:1930 BLANDING ST
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29201-3520
Practice Address - Country:US
Practice Address - Phone:803-256-4107
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-10
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty