Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XS0106X | Orthopaedic Hand Surgeon | 12898 | RI |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 27085 | SC |
N | 2086S0105X | Surgery of the Hand | 27085 | SC |
NPI | 1538175062 |
---|---|
Provider Name | Michael Jason Palmer |
First Address | Greenville, SC 29601-2842 |
Second Address | Greenville, SC 29615-4240 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2006 |
Last Update Date | 24/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
270852 | (05) | SC |