# PALMETTO HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Carolina Colon and Rectal Surgeons
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366681827
- **Authorized official:** DARRELL C COVEN (DIRECTOR, AMBULATORY SVCS - FINANCE)
- **Authorized official phone:** (803) 296-7301

## Contact information

- **Practice address:** 1730 SAINT JULIAN PLACE, COLUMBIA, SC 29204-2410
- **Practice address phone:** (803) 779-2005
- **Practice address fax:** (803) 765-0007
- **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 |
| --- | --- | --- | --- | --- |
| 208C00000X | Colon & Rectal Surgery Physician | — | NULL | Yes |
| 208C00000X | Colon & Rectal Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/06/2009
- **Last updated:** 01/20/2010