Organization
PALMETTO HEATLH
Active
Parent organization
PALMETTO HEALTH
Other names
Palmetto Health Coulmbia CRNA Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
PALMETTO HEALTH
Authorized official
WILLIE P BROWN (DIRECTOR OF PATIENT ACCOUNTS)
(803) 296-2342
Entity
Organization
Contact information
Practice address
3301 HARDEN ST EXT 5 MEDICAL PARK, PALMETTO HEALTH CRNA RICHLAND, COULMBIA, SC 29203-6813
(803) 296-2548
(803) 296-2548
Mailing address
PO BOX 744244, ATLANTA, GA 30374-4244
(803) 296-2548
(803) 296-2548
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SUFFIX 008
BCBS CRNA RICHLAND
SC
Enumeration date
03/16/2007
Last updated
10/11/2017
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