Organization
PALMETTO HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
APRIL ROBINSON (BUSINESS MANAGER)
(803) 434-1842
Entity
Organization
Contact information
Practice address
6 RICHLAND MEDICAL PARK DR, SUITE 2100, COLUMBIA, SC 29203-6864
(803) 434-2762
(803) 434-2713
Mailing address
6 RICHLAND MEDICAL PARK DR, SUITE 2100, COLUMBIA, SC 29203-6864
(803) 434-2762
(803) 434-2713
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
20438
SC
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
20438
SC
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
20438
SC
207RC0000X
Cardiovascular Disease Physician
20438
SC
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
20438
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20000290
FIRST CHOICE SELECT UB
SC
01
—
20000321
FIRST CHOICE SELECT 1500
SC
05
—
400186
—
SC
Enumeration date
10/11/2016
Last updated
10/11/2016
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