Organization · Type 2 NPI

Palmetto Health

Pediatric Hematology & Oncology Physician · Columbia, SC

NPI number 1831128586 Active

Practice location

7 Richland Medical Park Dr, Suite 203
Columbia, SC 29203-6863

Call (803) 434-3533 Map

Fax (803) 434-3094

Mailing address

PO Box 402145
Atlanta, GA 30384-2145

Specialties and licenses

Taxonomy	Code	License
Pediatric Hematology & Oncology Physician Primary	2080P0207X	None listed

Pediatric Hematology & Oncology Physician: A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

10 other providers at this address

Other pediatric hematology & oncology physician providers in Columbia

Palmetto Health - University of South Carolina Medical GroupPediatric Hematology & Oncology Physician Columbia, SC NPI 1831688415

See all in Columbia →

NPI record

NPI: 1831128586
Entity type: Organization (Type 2)
Issued: Jul 2, 2006
Last updated: Nov 21, 2012
Status: Active
Subpart: Yes of Palmetto Health

Other names

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Pediatric Hematology/oncology · doing business as

Authorized official

Darrell C Coven
Director - Business Dev/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 1831128586

Palmetto Health's National Provider Identifier is 1831128586, issued on Jul 2, 2006. The primary taxonomy on file is Pediatric Hematology & Oncology Physician (2080P0207X), and the practice location is in Columbia, SC. The record was last updated on Nov 21, 2012.