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Organization

PALMETTO HEALTH

Active
Parent organization
PALMETTO HEALTH
Other names
Healing Waters at Palmetto Health
Organization subpart
Yes

Provider details

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

Contact information

Practice address
300 PALMETTO HEALTH PKWY, SUITE 103, COLUMBIA, SC 29212-1761
(803) 907-7100
(803) 907-7109
Mailing address
PO BOX 402145, ATLANTA, GA 30384-2145
(803) 296-7305
(803) 296-7330

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary

Other

Enumeration date
10/30/2014
Last updated
10/30/2014
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