Organization
PALMETTO HEALTH
Active
Other names
Special Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS B ECKERT (DIR OF PHS)
(803) 296-2548
Entity
Organization
Contact information
Practice address
14 RICHLAND MEDICAL PARK DRIVE SUITE 310, COLUMBIA, SC 29203
(803) 434-2300
(803) 434-8686
Mailing address
5 RICHLAND MEDICAL PARK, COLUMBIA, SC 29203
(803) 296-2548
(803) 296-2548
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP1795
—
SC
Enumeration date
08/17/2007
Last updated
04/27/2010
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