| Palmetto Health | |
|
738 University Village Dr Blythewood SC 29016-7611 | |
| (803) 461-0270 | |
| (803) 462-0275 |
| Full Name | Palmetto Health |
|---|---|
| Speciality | Family Medicine |
| Location | 738 University Village Dr, Blythewood, South Carolina |
| Authorized Official Name and Position | Darrell C. Coven (DIRECTOR, AMBULATORY SVCS - FINANCE) |
| Authorized Official Contact | 8032967301 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palmetto Health Po Box 402145 Atlanta GA 30384-2145 Ph: (803) 296-7305 | Palmetto Health 738 University Village Dr Blythewood SC 29016-7611 Ph: (803) 461-0270 |
| NPI Number | 1063690675 |
|---|---|
| Provider Enumeration Date | 02/06/2008 |
| Last Update Date | 09/11/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063690675 | NPI | - | NPPES |
| GP4843 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Lexington Health Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 230 Redhawk Way Ste 200, Blythewood, SC 29016 Phone: 803-791-2000 | |
Amethyst Health, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1175 Grey Pine Dr, Blythewood, SC 29016 Phone: 717-880-3740 | |
Fairfield Medical Associates, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 428 2 Mcnulty Road, Blythewood, SC 29016 Phone: 803-754-8941 Fax: 803-635-4200 | |
Crocodile Pharmacy Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 738 University Village Dr, Blythewood, SC 29016 Phone: 480-235-7788 | |
Fairfield Medical Associates, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 428 Mcnulty St Ste 3, Blythewood, SC 29016 Phone: 803-754-8941 Fax: 803-635-4200 |