# PALMETTO HEALTH - UNIVERSITY OF SOUTH CAROLINA MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235627852
- **Authorized official:** WILLIAM D. ANDERSON III, MD (CHIEF MEDICAL OFFICER)
- **Authorized official phone:** (803) 545-5226

## Contact information

- **Practice address:** TAYLOR AT MARION ST., COLUMBIA, SC 29202-0001
- **Practice address phone:** (803) 296-5579
- **Practice address fax:** (803) 296-5578
- **Mailing address:** PO BOX 743904, ATLANTA, GA 30374-3904
- **Mailing address phone:** (803) 296-7320
- **Mailing address fax:** (803) 296-7330

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 207RA0201X | Allergy & Immunology (Internal Medicine) Physician | — | NULL | — |
| 207RA0201X | Allergy & Immunology (Internal Medicine) Physician | — | — | — |
| 208M00000X | Hospitalist Physician | — | NULL | — |
| 208M00000X | Hospitalist Physician | — | — | — |

## Other

- **Enumeration date:** 04/30/2018
- **Last updated:** 04/30/2018