Organization
PALMETTO HEALTH
Active
Parent organization
PALMETTO HEALTH
Other names
Childrens Hospital Intensivists
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
9 MEDICAL PARK, SUITE 530, COLUMBIA, SC 29203-6859
(803) 434-4603
(803) 434-3866
Mailing address
PO BOX 402145, ATLANTA, GA 30384-2145
(803) 296-7305
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP1561
—
SC
Enumeration date
07/18/2006
Last updated
08/30/2017
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