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Organization
PALMETTO HEALTH
Active
Organization
PALMETTO HEALTH
Active
Parent organization
PALMETTO HEALTH
Other names
Pediatric Palliative Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
PALMETTO HEALTH
Authorized official
MR. DARRELL C COVEN (DIRECTOR-AMBULATORY SERVICE-FINANCE)
(803) 296-7301
Entity
Organization
Contact information
Practice address
7 MEDICAL PARK DRIVE, SUITE 7215, COLUMBIA, SC 29203-6863
(803) 434-2249
Mailing address
PO BOX 402145, ATLANTA, GA 30384-2145
(803) 296-7305
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
2080H0002X
Pediatric Hospice and Palliative Medicine Physician
Primary
—
NULL
2080H0002X
Pediatric Hospice and Palliative Medicine Physician
Primary
—
—
Other
Enumeration date
03/06/2012
Last updated
07/11/2012
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