Provider First Line Business Practice Location Address:
3 MEDICAL PARK
Provider Second Line Business Practice Location Address:
PALMETTO HEALTH RICHLAND, DEPT OF EMERGENCY MEDICINE
Provider Business Practice Location Address City Name:
COLUMBIA
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29203
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
803-434-6690
Provider Business Practice Location Address Fax Number:
803-434-3946
Provider Enumeration Date:
01/30/2006