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Organization

PALMETTO HEALTH

Active
Parent organization
PALMETTO HEALTH
Other names
Baptist Pain and Orthopaedic Care
Organization subpart
Yes

Provider details

NPI number
Legal business name
PALMETTO HEALTH
Authorized official
DARRELL C COVEN (DIRECTOR, AMBULATORY SVCS - FINANCE)
(803) 296-7301
Entity
Organization

Contact information

Practice address
223 STONERIDGE DR, COLUMBIA, SC 29210-8049
(803) 296-2414
(803) 296-2400
Mailing address
PO BOX 402145, ATLANTA, GA 30384-2145
(803) 296-7305
(803) 296-7330

Taxonomy

Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
282N00000X
General Acute Care Hospital

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GP4893
SC
Enumeration date
06/20/2006
Last updated
09/28/2010
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