Organization
PALMETTO HEALTH
Active
Other names
Surgical Associates of South Carolina
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARRELL C. COVEN (DIRECTOR BUSINESS DEV. FINANCE)
(803) 296-7301
Entity
Organization
Contact information
Practice address
1850 LAUREL ST, COLUMBIA, SC 29201-2627
(803) 256-3400
(803) 256-2039
Mailing address
PO BOX 402145, ATLANTA, GA 30384-2145
(803) 296-7305
(803) 296-7329
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP5106
—
SC
Enumeration date
01/14/2009
Last updated
11/14/2012
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