Organization
PALMETTO HEALTH
Active
Parent organization
PALMETTO HEALTH ALLIANCE
Other names
Diagnostic Center for Women
Organization subpart
Yes
Provider details
NPI number
Legal business name
PALMETTO HEALTH ALLIANCE
Authorized official
DARRELL C COVEN (FINANCE DIRECTOR OF BUSINESS DEV.)
(803) 296-7301
Entity
Organization
Contact information
Practice address
1 MEDICAL PARK RD, SUITE 300, 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
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP2486
—
SC
Enumeration date
07/21/2006
Last updated
12/27/2007
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