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Organization

PALMETTO HEALTH

Active
Parent organization
PALMETTO HEALTH
Other names
Women Physicians Associates OB/GYN
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
9 RICHLAND MEDICAL PARK, SUITE 620, COLUMBIA, SC 29203-6859
(803) 779-6776
(803) 779-7346
Mailing address
PO BOX 402145, ATLANTA, GA 30384-2145
(803) 296-7305
(803) 296-7330

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GP5469
SC
Enumeration date
06/07/2010
Last updated
12/15/2010
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