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Organization
PALMETTO HEALTH UNIVERSITY OF SOUTH CAROLINA MEDICAL GROUP
Active
Organization
PALMETTO HEALTH UNIVERSITY OF SOUTH CAROLINA MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM D. ANDERSON III, MD (CHIEF MEDICAL OFFICER)
(803) 545-5005
Entity
Organization
Contact information
Practice address
3600 FOREST DR FL 3, COLUMBIA, SC 29204-4052
(803) 749-5101
(803) 933-3045
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP7530
—
SC
Enumeration date
04/04/2018
Last updated
04/04/2018
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