Organization
PALMETTO HEALTH ALLIANCE
Active
Other names
Center for Pain Management
Organization subpart
No
Provider details
NPI number
Authorized official
BERNICE K RICHARDSON (MEDICAL AFFAIRS MANAGER)
(803) 254-2394
Entity
Organization
Contact information
Practice address
223 STONERIDGE DR, COLUMBIA, SC 29210-8009
(803) 296-5990
(803) 296-2400
Mailing address
PO BOX 1669, COLUMBIA, SC 29202-1669
(803) 254-2394
(803) 254-7125
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DA2317
RR MEDICARE
SC
01
—
GP3454
SELECT HEALTH
SC
05
—
GP3454
—
SC
Enumeration date
10/04/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us