# PALMETTO HEALTH

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

## Provider details

- **NPI number:** 1306396585
- **Authorized official:** APRIL ROBINSON (BUSINESS MANAGER)
- **Authorized official phone:** (803) 434-1842

## Contact information

- **Practice address:** 6 RICHLAND MEDICAL PARK DR, SUITE 2100, COLUMBIA, SC 29203-6864
- **Practice address phone:** (803) 434-2762
- **Practice address fax:** (803) 434-2713
- **Mailing address:** 6 RICHLAND MEDICAL PARK DR, SUITE 2100, COLUMBIA, SC 29203-6864
- **Mailing address phone:** (803) 434-2762
- **Mailing address fax:** (803) 434-2713

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204F00000X | Transplant Surgery Physician | 20438 | SC | — |
| 207RA0001X | Advanced Heart Failure and Transplant Cardiology Physician | 20438 | SC | — |
| 207RA0201X | Allergy & Immunology (Internal Medicine) Physician | 20438 | SC | — |
| 207RC0000X | Cardiovascular Disease Physician | 20438 | SC | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 20438 | SC | Yes |

## Other

- **Enumeration date:** 10/11/2016
- **Last updated:** 10/11/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 20000290 | FIRST CHOICE SELECT UB | SC |
| 01 | — | 20000321 | FIRST CHOICE SELECT 1500 | SC |
| 05 | — | 400186 | — | SC |