| Palmetto Health | |
|
190 Parkridge Drive Suite 104 Columbia SC 29212-1747 | |
| (803) 434-5668 | |
| (803) 434-5669 |
| Full Name | Palmetto Health |
|---|---|
| Speciality | Emergency Medicine |
| Location | 190 Parkridge Drive, Columbia, South Carolina |
| Authorized Official Name and Position | Darrell C Coven (DIRECTORY, AMBULATORY SERVICES-FINA) |
| 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 190 Parkridge Drive Suite 104 Columbia SC 29212-1747 Ph: (803) 434-5668 |
| NPI Number | 1891046793 |
|---|---|
| Provider Enumeration Date | 10/02/2012 |
| Last Update Date | 10/02/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891046793 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207P00000X | Emergency Medicine | (* (Not Available)) | Primary |
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