Provider Demographics
NPI:1982655197
Name:PALMETTO INTERNAL MEDICINE OF FLORNECE
Entity Type:Organization
Organization Name:PALMETTO INTERNAL MEDICINE OF FLORNECE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:JEFFERSON
Authorized Official - Last Name:CRANE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:843-656-2122
Mailing Address - Street 1:305 E CHEVES ST
Mailing Address - Street 2:SUITE 120
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29506-2610
Mailing Address - Country:US
Mailing Address - Phone:843-656-2122
Mailing Address - Fax:843-656-2126
Practice Address - Street 1:305 E CHEVES ST
Practice Address - Street 2:SUITE 120
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29506-2610
Practice Address - Country:US
Practice Address - Phone:843-656-2122
Practice Address - Fax:843-656-2126
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty