Provider First Line Business Practice Location Address:
9 MEDICAL PARK SUITE 205
Provider Second Line Business Practice Location Address:
PALMETTO HEALTH RICHLAND DIABETES EDUCATION
Provider Business Practice Location Address City Name:
COLUMBIA
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29203-6863
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
803-296-2548
Provider Business Practice Location Address Fax Number:
803-296-3040
Provider Enumeration Date:
10/17/2006