Organization
PALMETTO HEALTH
Active
Parent organization
PALMETTO HEALTH
Other names
Pediatric Hematology/Oncology
Organization subpart
Yes
Provider details
NPI number
Legal business name
PALMETTO HEALTH
Authorized official
DARRELL C COVEN (DIRECTOR - BUSINESS DEV/FINANCE)
(803) 296-7301
Entity
Organization
Contact information
Practice address
7 RICHLAND MEDICAL PARK DR, SUITE 203, COLUMBIA, SC 29203-6863
(803) 434-3533
(803) 434-3094
Mailing address
PO BOX 402145, ATLANTA, GA 30384-2145
(803) 296-7306
(803) 296-7329
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4175
—
SC
Enumeration date
07/02/2006
Last updated
11/21/2012
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