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Organization

PALMETTO HEALTH

Active
Parent organization
PALMETTO HEALTH
Other names
Palmetto Health Urgent Care
Organization subpart
Yes

Provider details

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

Contact information

Practice address
190 PARKRIDGE DRIVE, SUITE 104, COLUMBIA, SC 29212-1747
(803) 434-5668
(803) 434-5669
Mailing address
PO BOX 402145, ATLANTA, GA 30384-2145
(803) 296-7305
(803) 296-7330

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
207Q00000X
Family Medicine Physician

Other

Enumeration date
10/02/2012
Last updated
10/02/2012
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