# PALMETTO HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PALMETTO HEALTH
- **Other names:** Columbia Gastroenterology Associates
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1114299575
- **Legal business name:** PALMETTO HEALTH
- **Authorized official:** MR. DARRELL C. COVEN (DIRECTOR-AMBULATORY SERVICES-FINANC)
- **Authorized official phone:** (803) 296-7301

## Contact information

- **Practice address:** 2739 LAUREL ST, SUITE 1-A, COLUMBIA, SC 29204-2028
- **Practice address phone:** (803) 799-4800
- **Practice address fax:** (803) 256-0397
- **Mailing address:** PO BOX 402145, ATLANTA, GA 30384-2145
- **Mailing address phone:** (803) 296-7305
- **Mailing address fax:** (803) 296-7330

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | — | NULL | Yes |
| 207RG0100X | Gastroenterology Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/01/2012
- **Last updated:** 04/10/2012