NPI 1003844556

Palmetto Health

Organisation Pediatric Surgery Physician Columbia, SC

Practice location

Address: 9 Richland Medical Park Dr Suite 500, Columbia, SC 29203-6859
Phone: (803) 296-7304
Fax: (803) 296-7329
Mailing address: PO Box 402145, Atlanta, GA 30384-2145

Authorised official

Name: Darrell C Coven
Title: Director of Business Dev., Finance
Phone: (803) 296-7301

Registered specialties

Pediatric Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2086S0120X

Other Surgery providers in South Carolina →

Registry record

NPI: 1003844556
Entity type: Organization
NPI issued: 30 Jun 2006
Record last updated: 19 Nov 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.