Organization
PALMETTO HEALTH
Active
Parent organization
PALMETTO HEALTH
Other names
First Care
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
115 BLARNEY DR, SUITE 205, COLUMBIA, SC 29223-6291
(803) 736-6262
(803) 699-1734
Mailing address
PO BOX 402145, ATLANTA, GA 30384-2145
(803) 296-7305
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP5263
—
SC
Enumeration date
08/06/2009
Last updated
04/01/2016
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