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Organization

PALMETTO HEALTH

Active
Parent organization
PALMETTO HEALTH
Other names
Palmetto Health Physician Practice Network at Sumter
Organization subpart
Yes

Provider details

NPI number
Legal business name
PALMETTO HEALTH
Authorized official
DARRELL COVEN (DIRECTOR, BUS FINANCE)
(803) 296-7301
Entity
Organization

Contact information

Practice address
115 N SUMTER ST, SUITE 400, SUMTER, SC 29150-4972
(803) 774-7425
(803) 774-9426
Mailing address
PO BOX 402145, ATLANTA, GA 30384-2145
(803) 296-7303
(803) 296-7330

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
SC
207V00000X
Obstetrics & Gynecology Physician
SC
207X00000X
Orthopaedic Surgery Physician
SC
208600000X
Surgery Physician
SC
2086S0122X
Plastic and Reconstructive Surgery Physician
SC
208M00000X
Hospitalist Physician
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GP7159
SC
Enumeration date
12/17/2015
Last updated
06/27/2016
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