Organization
PALMETTO HEALTH
Active
Other names
Parkridge OB/GYN
Organization subpart
No
Provider details
NPI number
Authorized official
DARRELL COVEN (DIRECTOR, AMBULATORY SERVICES-FIN)
(803) 296-7301
Entity
Organization
Contact information
Practice address
100 PALMETTO HEALTH PKWY, SUITE 250B, COLUMBIA, SC 29212-1753
(803) 407-3734
(803) 407-3133
Mailing address
PO BOX 402145, ATLANTA, GA 30384-2145
(803) 296-7305
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP6159
—
SC
Enumeration date
03/06/2013
Last updated
06/24/2016
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