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Organization

PALMETTO HEALTH

Active
Parent organization
PALMETTO HEALTH
Other names
Palmetto Health Psychiatry
Organization subpart
Yes

Provider details

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

Contact information

Practice address
1333 TAYLOR ST, SUITE 2A, COLUMBIA, SC 29201-2923
(803) 296-3429
(803) 296-2735
Mailing address
PO BOX 402145, ATLANTA, GA 30384-2145
(803) 296-7305
(803) 296-7330

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary

Other

Enumeration date
12/27/2011
Last updated
01/25/2012
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