Palmetto Health Baptist | |
1333 Taylor At Marion Street Columbia SC 29201-2923 | |
(803) 296-2548 | |
(803) 296-2548 |
Full Name | Palmetto Health Baptist |
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Speciality | Social Worker - Clinical |
Location | 1333 Taylor At Marion Street, Columbia, South Carolina |
Authorized Official Name and Position | Karla K. Powell (MEDICAL PROVIDER COORDINATOR) |
Authorized Official Contact | 8032962548 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Palmetto Health Baptist Palmetto Health Po Box 402130 Atlanta GA 30384-2130 Ph: (803) 296-2548 | Palmetto Health Baptist 1333 Taylor At Marion Street Columbia SC 29201-2923 Ph: (803) 296-2548 |
NPI Number | 1083622013 |
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Provider Enumeration Date | 08/04/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083622013 | NPI | - | NPPES |
5729 | Other | SC | PH BAPTIST MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 1043 (South Carolina) | Primary |
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