Organization Active NPI

Palmetto Internal Medicine of Laurens County PA

  • Clinic/Center
  • Clinton, SC
National Provider Identifier
1831399161
Registry record updated Jun 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
PALMETTO INTERNAL MEDICINE OF LAURENS COUNTY PA
Practice address
500 Plaza Cir
Suite J
Clinton, SC 29325-7559
Phone
(864) 833-6171
Fax
(864) 833-9039
NPI assigned
Jul 24, 2007
Last updated
Jun 25, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2010

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

Authorized official

Name
Brian E Weirick, D.O.NPI 1669457966
Title
President
Phone
(864) 833-6171

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

500 Plaza Cir
Suite J
Clinton, SC 29325-7559

Mailing address

500 Plaza Cir
Suite J
Clinton, SC 29325-7559
Phone (864) 833-6171

National Provider Directory

National Provider Directory

Locations

1073 Medical Ridge Rd
Clinton, SC 29325
Phone (864) 833-3557

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277424000000",
    "number": "1831399161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 PLAZA CIR",
            "address_2": "SUITE J",
            "city": "CLINTON",
            "state": "SC",
            "postal_code": "293257559",
            "telephone_number": "864-833-6171",
            "fax_number": "864-833-9039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 PLAZA CIR",
            "address_2": "SUITE J",
            "city": "CLINTON",
            "state": "SC",
            "postal_code": "293257559",
            "telephone_number": "864-833-6171",
            "fax_number": "864-833-9039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO INTERNAL MEDICINE OF LAURENS COUNTY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2010-06-25",
        "status": "A",
        "authorized_official_last_name": "WEIRICK",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-833-6171",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2010; 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.