Organization
PALMETTO AIDS LIFE SUPPORT SERVICES
Active
Other names
PALSS
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CARMEN HAMPTON JULIOUS LISW-CP&AP (EXECUTIVE DIRECTOR)
(803) 779-7257
Entity
Organization
Contact information
Practice address
2638 TWO NOTCH RD, SUITE 108, COLUMBIA, SC 29204-1454
(803) 779-7257
(803) 779-5285
Mailing address
2638 TWO NOTCH RD, SUITE 108, COLUMBIA, SC 29204-1454
(803) 779-7257
(803) 779-5285
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EX0210
—
SC
Enumeration date
06/18/2007
Last updated
03/03/2015
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