Organization
PALMETTO HEALTH
Active
Parent organization
PALMETTO HEALTH
Other names
CRNA Baptist
Organization subpart
Yes
Provider details
NPI number
Legal business name
PALMETTO HEALTH
Authorized official
WILLIE P BROWN (DIRECTOR OF PATIENT ACCOUNTS)
(803) 296-2342
Entity
Organization
Contact information
Practice address
1330 TAYLOR AT MARION STREETS, PALMETTO HEALTH BAPTIST CRNA, COLUMBIA, SC 29201
(803) 296-2548
(803) 296-2548
Mailing address
PALMETTO HEALTH BAPTIST CRNA, PO BOX 402141, ATLANTA, GA 30384-0001
(803) 296-2548
(803) 296-2548
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SUFFIX 508
BCBS FOR CRNA BAPTIST
SC
Enumeration date
03/16/2007
Last updated
10/11/2017
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