Organization
PALMETTO HEALTH
Active
Parent organization
PALMETTO HEALTH
Other names
Children's Hospital Special Care Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
PALMETTO HEALTH
Authorized official
THOMAS B ECKERT (DIRECTOR OF PFS)
(803) 296-2548
Entity
Organization
Contact information
Practice address
14 RICHLAND MEDICAL PARK DRIVE, SUITE310, COULMBIA, SC 29203
(803) 296-2548
(803) 296-2548
Mailing address
PO BOX 402145, PALMETTO HEALTH, ATLANTA, GA 30384-2145
(803) 296-2548
(803) 296-3040
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP1795
—
SC
Enumeration date
10/18/2006
Last updated
09/24/2012
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