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Organization

PALMETTO HEALTH

Active
Parent organization
PALMETTO HEALTH
Other names
Ambulatory Care Center for Evaluation and Stabilization
Organization subpart
Yes

Provider details

NPI number
Legal business name
PALMETTO HEALTH
Authorized official
MR. DARRELL C COVEN (DIRECTOR, AMBULATORY SERVICES-FINAN)
(803) 296-7301
Entity
Organization

Contact information

Practice address
3010 FARROW RD, CAROLINA MEDICAL PLAZA SUITE 200, COLUMBIA, SC 29203-7607
(803) 434-2741
(803) 434-3175
Mailing address
PO BOX 402145, ATLANTA, GA 30384-2145
(803) 296-7305
(803) 296-7330

Taxonomy

Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary

Other

Enumeration date
06/11/2012
Last updated
06/11/2012
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