Provider First Line Business Practice Location Address:
223 STONERIDGE DR
Provider Second Line Business Practice Location Address:
PALMETTO HEALTH BAPTIST PAIN AND ORTHOPAEDICS
Provider Business Practice Location Address City Name:
COLUMBIA
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29210-8049
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
803-296-7246
Provider Business Practice Location Address Fax Number:
803-296-2400
Provider Enumeration Date:
12/01/2006