Organization
PALMETTO HEALTH
Active
Other names
South Hampton Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
DARRELL C COVEN (DIRECTOR OF BUSINESS DEV., FINANCE)
(803) 233-1025
Entity
Organization
Contact information
Practice address
5900 GARNERS FERRY RD, COLUMBIA, SC 29209-1301
(803) 695-5450
(803) 695-5469
Mailing address
PO BOX 402145, ATLANTA, GA 30384-2145
(803) 695-5450
(803) 695-5469
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP2836
—
SC
Enumeration date
05/23/2006
Last updated
10/14/2008
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