Organization
PALMETTO HEALTH - UNIVERSITY OF SOUTH CAROLINA MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM D. ANDERSON III, MD (CHIEF MEDICAL OFFICER)
(803) 545-5226
Entity
Organization
Contact information
Practice address
TAYLOR AT MARION ST., COLUMBIA, SC 29202-0001
(803) 296-5579
(803) 296-5578
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
—
—
208M00000X
Hospitalist Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP7350
—
SC
Enumeration date
04/30/2018
Last updated
04/30/2018
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