# PALMETTO HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PALMETTO HEALTH
- **Other names:** Pediatric Palliative Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1164796306
- **Legal business name:** PALMETTO HEALTH
- **Authorized official:** MR. DARRELL C COVEN (DIRECTOR-AMBULATORY SERVICE-FINANCE)
- **Authorized official phone:** (803) 296-7301

## Contact information

- **Practice address:** 7 MEDICAL PARK DRIVE, SUITE 7215, COLUMBIA, SC 29203-6863
- **Practice address phone:** (803) 434-2249
- **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 |
| --- | --- | --- | --- | --- |
| 2080H0002X | Pediatric Hospice and Palliative Medicine Physician | — | NULL | Yes |
| 2080H0002X | Pediatric Hospice and Palliative Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/06/2012
- **Last updated:** 07/11/2012