Provider Demographics
NPI:1295742294
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 PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:CURRAN
Authorized Official - Middle Name:P
Authorized Official - Last Name:COLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-560-7050
Mailing Address - Street 1:406 TIFFANY PARK
Mailing Address - Street 2:SUITES A & B
Mailing Address - City:GAFFNEY
Mailing Address - State:SC
Mailing Address - Zip Code:29341-1262
Mailing Address - Country:US
Mailing Address - Phone:864-488-3980
Mailing Address - Fax:864-488-3998
Practice Address - Street 1:406 TIFFANY PARK
Practice Address - Street 2:SUITES A & B
Practice Address - City:GAFFNEY
Practice Address - State:SC
Practice Address - Zip Code:29341-1262
Practice Address - Country:US
Practice Address - Phone:864-488-3980
Practice Address - Fax:864-488-3998
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-02
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
NC790270VOtherNC MEDICAID NUMBER
SCCD5663OtherRAILROAD MEDICARE
SCGP2745Medicaid
SCGP2745Medicaid