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Organization

PALMETTO HEALTH

Active
Parent organization
PALMETTO HEALTH
Other names
Weight Management
Organization subpart
Yes

Provider details

NPI number
Legal business name
PALMETTO HEALTH
Authorized official
MR. DARRELL C COVEN (DIRECTOR BUSINESS DEVELOPMENT, FINA)
(803) 296-7301
Entity
Organization

Contact information

Practice address
1850 LAUREL ST, SUITE 1A, COLUMBIA, SC 29201-2627
(803) 296-7305
(803) 296-7329
Mailing address
PO BOX 402145, ATLANTA, GA 30384-2145
(803) 296-7305
(803) 296-7330

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Enumeration date
06/25/2009
Last updated
09/05/2012
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