Provider Demographics
NPI:1174201743
Name:PALMETTO BILL RITE
Entity type:Organization
Organization Name:PALMETTO BILL RITE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:BRUNSON
Authorized Official - Last Name:FOSTER
Authorized Official - Suffix:
Authorized Official - Credentials:RPT
Authorized Official - Phone:843-455-9668
Mailing Address - Street 1:806 RIVEN OAK DR
Mailing Address - Street 2:
Mailing Address - City:MURRELLS INLET
Mailing Address - State:SC
Mailing Address - Zip Code:29576-7749
Mailing Address - Country:US
Mailing Address - Phone:843-455-9668
Mailing Address - Fax:843-213-6656
Practice Address - Street 1:806 RIVEN OAK DR
Practice Address - Street 2:
Practice Address - City:MURRELLS INLET
Practice Address - State:SC
Practice Address - Zip Code:29576-7749
Practice Address - Country:US
Practice Address - Phone:843-455-9668
Practice Address - Fax:843-213-6656
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-05
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
No2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatricsGroup - Multi-Specialty