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Organization

PALMETTO HEALTH

Active
Parent organization
PALMETTO HEALTH
Other names
Palmetto Health Orthopedics
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
14 RICHLAND MEDICAL PARK DR, SUITE 200, COLUMBIA, SC 29203-6877
(803) 296-2663
(803) 296-2664
Mailing address
PO BOX 848932, BOSTON, MA 02284-8932
(803) 296-7303
(803) 296-7330

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
SC
207XS0106X
Orthopaedic Hand Surgery Physician
SC
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GP6908
SC
Enumeration date
12/16/2013
Last updated
09/30/2016
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