Organization · Type 2 NPI

Palmetto Health

Vascular & Interventional Radiology Physician · Columbia, SC

NPI number 1336311901 Active

Practice location

Taylor At Marion St
Columbia, SC 29220-0001

Call (803) 296-5162 Map

Fax (803) 296-5594

Mailing address

PO Box 402145
Atlanta, GA 30384-2145

Specialties and licenses

Taxonomy	Code	License
Vascular & Interventional Radiology Physician Primary	2085R0204X	None listed

Vascular & Interventional Radiology Physician: A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

15 other providers at this address

NPI record

NPI: 1336311901
Entity type: Organization (Type 2)
Issued: Mar 24, 2008
Last updated: Sep 28, 2010
Status: Active
Subpart: Yes of Palmetto Health

Other names

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Baptist Vascular Lab · doing business as

Authorized official

Darrell C Coven
Director, Ambulatory SVCS - Finance
(803) 296-7301

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1336311901

Palmetto Health's National Provider Identifier is 1336311901, issued on Mar 24, 2008. The primary taxonomy on file is Vascular & Interventional Radiology Physician (2085R0204X), and the practice location is in Columbia, SC. The record was last updated on Sep 28, 2010.