Organization
PALMETTO HEALTH
Active
Parent organization
PALMETTO HEALTH
Other names
Twelve Mile Creek Family Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
PALMETTO HEALTH
Authorized official
MR. DARRELL C COVEN (DIRECTOR - BUSINESS DEV/FINANCE)
(803) 296-7301
Entity
Organization
Contact information
Practice address
4711 SUNSET BLVD, LEXINGTON, SC 29072-9151
(803) 356-3609
(803) 356-3941
Mailing address
PO BOX 402145, ATLANTA, GA 30384-2145
(803) 296-7306
(803) 296-7329
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP5017
—
SC
Enumeration date
08/04/2008
Last updated
02/11/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us