Palmetto Health
NPI #1104370188 in Columbia, South Carolina
Provider Information
- NPI Number
- 1104370188
- Entity Type
- Organization
- Organization Name
- Palmetto Health
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PALMETTO HEALTH
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- Aug 8, 2016
- Last Updated
- Aug 8, 2016
Practice Location
- Address
- 10 RICHLAND MEDICAL PARK DR
- Address 2
- SUITE A
- City
- Columbia
- State
- South Carolina
- ZIP Code
- 29203-6864
- Phone
- (803) 434-6567
Authorized Official
- Name
- DARRELL C COVEN
- Title
- DIRECTOR, AMBULATORY SERVICES FINAN
- Phone
- (803) 296-7301
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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