Provider First Line Business Practice Location Address:
PH USC PULMONARY
Provider Second Line Business Practice Location Address:
300 PALMETTO HEALTH PARKWAY
Provider Business Practice Location Address City Name:
COLUMBIA
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29212-1765
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
803-296-3273
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/26/2007