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Organization
PALMETTO HEALTH
Active
Organization
PALMETTO HEALTH
Active
Parent organization
PALMETTO HEALTH
Other names
Palmetto Health Surgical Specialists
Organization subpart
Yes
Provider details
NPI number
Legal business name
PALMETTO HEALTH
Authorized official
MR. DARRELL C. COVEN (DIRECTOR - BUSINESS DEV./FINANCE)
(803) 296-7301
Entity
Organization
Contact information
Practice address
9 RICHLAND MEDICAL PARK DR, SUITE 450, COLUMBIA, SC 29203-6859
(803) 434-8800
(803) 434-8802
Mailing address
PO BOX 402145, ATLANTA, GA 30384-2145
(803) 296-7305
(803) 296-7329
Taxonomy
Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
Primary
—
NULL
2086S0127X
Trauma Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3421
—
SC
Enumeration date
02/21/2008
Last updated
06/05/2012
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