Organization
PALMETTO HEALTH BAPTIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KARLA K. POWELL (MEDICAL PROVIDER COORDINATOR)
(803) 296-2548
Entity
Organization
Contact information
Practice address
1333 TAYLOR AT MARION STREET, COLUMBIA, SC 29201-2923
(803) 296-2548
(803) 296-2548
Mailing address
PALMETTO HEALTH, PO BOX 402130, ATLANTA, GA 30384-2130
(803) 296-2548
(803) 296-2548
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1043
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5729
PH BAPTIST MEDICARE
SC
Enumeration date
08/04/2006
Last updated
08/22/2020
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