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PALMETTO HEALTH NPI 1366681827


NPI Information

NPI: 1366681827
Provider Name: PALMETTO HEALTH

Doing Business As: CAROLINA COLON AND RECTAL SURGEONS

Classification: Colon & Rectal Surgery - 208C00000X
Entity Type: Organization
Address:
1730 SAINT JULIAN PLACE
COLUMBIA, SC
ZIP 29204
Phone: (803) 779-2005
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PALMETTO HEALTH is a colon rectal surgery in Columbia, SC. The provider is a colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. PALMETTO HEALTH NPI is 1366681827. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Carolina Colon And Rectal Surgeons.

The provider's business location address is:

1730 SAINT JULIAN PLACE
COLUMBIA, SC
ZIP 29204-410
Phone: (803) 779-2005
Fax: (803) 765-0007

The provider's authorized official is Darrell C Coven .
The authorized official title is Director, Ambulatory Svcs - Finance and has the following contact phone number (803) 296-7301.

The enumeration date for this NPI number is 2/6/2009 and was last updated on 1/20/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208C00000XColon & Rectal SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GP5193MEDICAIDSOUTH CAROLINA
25777MEDICARE PINSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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