Palmetto Radiology, PA

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

PALMETTO RADIOLOGY, PA

Practice address

22725 Highway 76E
Clinton, SC 29325

Phone

(803) 534-0053

Fax

(803) 536-1198

NPI assigned

Nov 16, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Randy Graham, MD

Title

President

Phone

(803) 534-0053

Specialties & licenses 1

Addresses

Tax ID family

Palmetto Radiology PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Palmetto Radiology, PA

  • Diagnostic Radiology Physician
  • Abbeville, SC
  • NPI 1548333768
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225101173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 388",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291160388",
            "telephone_number": "803-534-0053",
            "fax_number": "803-536-1198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22725 HIGHWAY 76E",
            "city": "CLINTON",
            "state": "SC",
            "postal_code": "29325",
            "telephone_number": "803-534-0053",
            "fax_number": "803-536-1198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO RADIOLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-534-0053",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Owusu, MD
• Nora Pace, ATC, M. ED., SCAT
• Palmetto Bone & Joint PA
• Palmetto Hematology Oncology PC
• Palmetto Internal Medicine of Laurens County PA
• Cathy Putman Pasco, FNP-C
• Nancy Patel, DO
• Puja Ashok Patel, DMD
• Jennifer White Patterson, APRN, FNP-BC
• PC Community Care Pharmacy

• Diagnostic Radiology Physician in Clinton, SC
• Providers in Clinton, SC by specialty
• Diagnostic Radiology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.