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Organization

PALMETTO HEALTH

Active
Parent organization
PALMETTO HEALTH
Other names
Palmetto Heart
Organization subpart
Yes

Provider details

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

Contact information

Practice address
8 RICHLAND MEDICAL PARK DR, SUITE 100, COLUMBIA, SC 29203-8005
(803) 434-3800
(803) 744-2759
Mailing address
PO BOX 402145, ATLANTA, GA 30384-2145
(803) 296-7305
(803) 296-7330

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GP5711
SC
Enumeration date
06/15/2011
Last updated
02/18/2013
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