# PALMETTO HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PALMETTO HEALTH
- **Other names:** Palmetto Health Ophthalmology
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1912242876
- **Legal business name:** PALMETTO HEALTH
- **Authorized official:** MR. DARRELL C COVEN (DIRECTOR-AMBULATORY SRVCS-FINANCE)
- **Authorized official phone:** (803) 296-7301

## Contact information

- **Practice address:** 9 RICHLAND MEDICAL PARK DR, SUITE 340, COLUMBIA, SC 29203-6859
- **Practice address phone:** (803) 434-2020
- **Practice address fax:** (803) 434-1581
- **Mailing address:** PO BOX 402145, ATLANTA, GA 30384-2145
- **Mailing address phone:** (803) 434-6836
- **Mailing address fax:** (803) 296-7330

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/04/2012
- **Last updated:** 09/30/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | DA9578 | — | SC |
| 05 | — | GP6063 | — | SC |