# PALMETTO HEATLH

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PALMETTO HEALTH
- **Other names:** Palmetto Health Coulmbia CRNA Services
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1013041367
- **Legal business name:** PALMETTO HEALTH
- **Authorized official:** WILLIE P BROWN (DIRECTOR OF PATIENT ACCOUNTS)
- **Authorized official phone:** (803) 296-2342

## Contact information

- **Practice address:** 3301 HARDEN ST EXT 5 MEDICAL PARK, PALMETTO HEALTH CRNA RICHLAND, COULMBIA, SC 29203-6813
- **Practice address phone:** (803) 296-2548
- **Practice address fax:** (803) 296-2548
- **Mailing address:** PO BOX 744244, ATLANTA, GA 30374-4244
- **Mailing address phone:** (803) 296-2548
- **Mailing address fax:** (803) 296-2548

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | SC | Yes |

## Other

- **Enumeration date:** 03/16/2007
- **Last updated:** 10/11/2017