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NPI Code Detail

MEDICARE: PALMETTO HEALTH SPECIAL CARE CENTER

MEDICARE: PALMETTO HEALTH SPECIAL CARE CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1282NC2000XChildren's Hospital7208SC

General Provider Information

NPI Number : 1962713594
Entity Type Code : Organization
Provider Name (Legal Business Name) : PALMETTO HEALTH SPECIAL CARE CENTER
Provider Business Mailing Address
First Line : 5 RICHLAND MEDICAL PARK DR
Second Line :
City : COLUMBIA
State : SC
Zip : 29203-6863
Country : US
Telephone Number : 803-434-1310
Fax Number : 803-434-8600
Provider Business Practice Location Address
First Line : 14 RICHLAND MEDICAL PARK DR STE 310
Second Line :
City : COLUMBIA
State : SC
Zip : 29203-6883
Country : US
Telephone Number : 803-434-2300
Fax Number : 803-434-8600
Authorized Official
Title or Position : DIRECTOR
Name : MRS. JANICE DINKINS
Credential : RN
Telephone Number : 803-434-1379
Provider Enumeration Date : 06/29/2010
Last Update Date : 06/29/2010

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Directions to “PALMETTO HEALTH SPECIAL CARE CENTER ” Practice Location

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