NPI 1245461391

Palmetto Health

Organisation General Practice Physician Columbia, SC

Practice location

Address: 115 Blarney Dr Suite 205, Columbia, SC 29223-6291
Phone: (803) 736-6262
Fax: (803) 699-1734
Mailing address: PO Box 402145, Atlanta, GA 30384-2145

Authorised official

Name: Darrell C Coven
Title: Director, Ambulatory Svcs - Finance
Phone: (803) 296-7301

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in South Carolina →

Registry record

NPI: 1245461391
Entity type: Organization
NPI issued: 6 Aug 2009
Record last updated: 1 Apr 2016

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.