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Organization

PALMETTO HEALTH

Active
Parent organization
PALMETTO HEALTH
Other names
Pediatric Palliative Care
Organization subpart
Yes

Provider details

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

Contact information

Practice address
7 MEDICAL PARK DRIVE, SUITE 7215, COLUMBIA, SC 29203-6863
(803) 434-2249
Mailing address
PO BOX 402145, ATLANTA, GA 30384-2145
(803) 296-7305
(803) 296-7330

Taxonomy

Speciality
Code
Description
License number
State
2080H0002X
Pediatric Hospice and Palliative Medicine Physician
Primary

Other

Enumeration date
03/06/2012
Last updated
07/11/2012
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