Provider First Line Business Practice Location Address:
3 MEDICAL PARK, SUITE 350
Provider Second Line Business Practice Location Address:
PALMETTO HEALTH RICHLAND, EMERGENCY ULTRASOUND FELLOWSH
Provider Business Practice Location Address City Name:
COLUMBIA
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29205
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
803-434-3790
Provider Business Practice Location Address Fax Number:
803-951-2764
Provider Enumeration Date:
01/19/2006