Organization
PALMETTO SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN BRILL M.D. (MANAGING OWNER)
(803) 865-8200
Entity
Organization
Contact information
Practice address
109 BLARNEY DR, COLUMBIA, SC 29223-6244
(803) 865-8200
(803) 419-7910
Mailing address
109 BLARNEY DR, COLUMBIA, SC 29223-6244
(803) 865-8200
(803) 419-7910
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
ASF 046
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ASC 024
—
SC
01
—
ASF 046
DHEC LICENSE NUMBER
SC
Enumeration date
08/16/2005
Last updated
02/12/2015
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