Organization
PALMETTO HEALTH
Active
Parent organization
PALMETTO HEALTH
Other names
Premier Orthopedic Specialists
Organization subpart
Yes
Provider details
NPI number
Legal business name
PALMETTO HEALTH
Authorized official
DARRELL C COVEN (FINANCE DIRECTOR OF BUSINESS DEV.)
(803) 296-7301
Entity
Organization
Contact information
Practice address
3 MEDICAL PARK RD, SUITE 330, COLUMBIA, SC 29203-6873
(803) 296-7304
(803) 296-7329
Mailing address
PO BOX 402145, ATLANTA, GA 30384-2145
(803) 296-7313
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3421
—
SC
Enumeration date
07/21/2006
Last updated
06/17/2010
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