Organization
PALMETTO HEALTH
Active
Parent organization
PALMETTO HEALTH
Other names
Orthopaedic and Spine Surgeons of South Carolina
Organization subpart
Yes
Provider details
NPI number
Legal business name
PALMETTO HEALTH
Authorized official
MR. DARRELL C COVEN (DIR. OF BUSINESS DEV FINANCE)
(803) 296-7301
Entity
Organization
Contact information
Practice address
1333 TAYLOR ST, SUITE 3-J, COLUMBIA, SC 29201
(803) 296-2281
(803) 296-7330
Mailing address
PO BOX 402145, ATLANTA, GA 30384-2145
(803) 296-7305
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP5332
—
SC
Enumeration date
12/11/2009
Last updated
10/07/2014
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