Organization
PALMETTO HEALTH
Active
Parent organization
PALMETTO HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
PALMETTO HEALTH
Authorized official
MR. DARRELL C COVEN (DIRECTOR, AMBULATORY SRVCS FINANCE)
(803) 296-7301
Entity
Organization
Contact information
Practice address
6 RICHLAND MEDICAL PARK DR, SUITE 2100, COLUMBIA, SC 29203-6864
(803) 434-2762
(803) 434-2713
Mailing address
PO BOX 402145, ATLANTA, GA 30384-2145
(803) 296-7305
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP7115
—
SC
Enumeration date
10/31/2014
Last updated
02/12/2018
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