Organization
PALMETTO HEALTH
Active
Parent organization
PALMETTO HEALTH
Other names
Columbia Gastroenterology Associates
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
2739 LAUREL ST, SUITE 1-A, COLUMBIA, SC 29204-2028
(803) 799-4800
(803) 256-0397
Mailing address
PO BOX 402145, ATLANTA, GA 30384-2145
(803) 296-7305
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP5853
—
SC
Enumeration date
02/01/2012
Last updated
04/10/2012
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