Provider First Line Business Practice Location Address:
PALMETTO HEALTH
Provider Second Line Business Practice Location Address:
1321 LADY STREET, FIRST FLOOR
Provider Business Practice Location Address City Name:
COLUMBIA
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29201
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
803-296-5797
Provider Business Practice Location Address Fax Number:
803-296-5023
Provider Enumeration Date:
02/28/2007