Provider First Line Business Practice Location Address:
5 MEDICAL PARK DRIVE
Provider Second Line Business Practice Location Address:
PALMETTO RICHLAND MEMORIAL HOSPITAL NEONATAL INTENSIVE
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:
803-434-7151
Provider Business Practice Location Address Fax Number:
803-434-6401
Provider Enumeration Date:
11/10/2006