# PALMETTO HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PALMETTO HEALTH
- **Other names:** CRNA Baptist
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1104950450
- **Legal business name:** PALMETTO HEALTH
- **Authorized official:** WILLIE P BROWN (DIRECTOR OF PATIENT ACCOUNTS)
- **Authorized official phone:** (803) 296-2342

## Contact information

- **Practice address:** 1330 TAYLOR AT MARION STREETS, PALMETTO HEALTH BAPTIST CRNA, COLUMBIA, SC 29201
- **Practice address phone:** (803) 296-2548
- **Practice address fax:** (803) 296-2548
- **Mailing address:** PALMETTO HEALTH BAPTIST CRNA, PO BOX 402141, ATLANTA, GA 30384-0001
- **Mailing address phone:** (803) 296-2548
- **Mailing address fax:** (803) 296-2548

## Taxonomy

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

## Other

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