Organization
PALMETTO HEALTH
Active
Parent organization
PALMETTO HEALTH
Other names
Parkridge Urgent Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
PALMETTO HEALTH
Authorized official
MR. DARRELL C COVEN (DIRECTOR - BUSINESS DEV/FINANCE)
(803) 296-7301
Entity
Organization
Contact information
Practice address
100 PALMETTO HEALTH PKWY, SUITE 104, COLUMBIA, SC 29212-1753
(803) 434-5668
(803) 434-5669
Mailing address
PO BOX 402145, ATLANTA, GA 30384-2145
(803) 296-7305
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
207Q00000X
Family Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP5000
—
SC
Enumeration date
06/09/2008
Last updated
06/05/2013
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