Organization
PALMETTO HEALTH
Active
Parent organization
PALMETTO HEALTH
Other names
Three Rivers Medical Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
PALMETTO HEALTH
Authorized official
DARRELL C COVEN (DIRECTOR, AMBULATORY SVCS-FINANCE)
(803) 296-7301
Entity
Organization
Contact information
Practice address
1301 TAYLOR ST, SUITE 8-A, COLUMBIA, SC 29201-2942
(803) 779-1922
(803) 779-6729
Mailing address
PO BOX 402145, ATLANTA, GA 30384-2145
(803) 296-7305
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP5557
—
SC
Enumeration date
05/14/2010
Last updated
12/23/2010
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