NPI 1720483886

Palmetto Health

Organisation Plastic Surgery Physician Columbia, SC

Practice location

Address: 300 Palmetto Health Pkwy Suite 103, Columbia, SC 29212-1761
Phone: (803) 907-7100
Fax: (803) 907-7109
Mailing address: PO Box 402145, Atlanta, GA 30384-2145

Authorised official

Name: Darrell C Coven
Title: Ambulatory Services-Finance
Phone: (803) 296-7301

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X

Other Plastic Surgery providers in South Carolina →

Registry record

NPI: 1720483886
Entity type: Organization
NPI issued: 30 Oct 2014
Record last updated: 30 Oct 2014

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.