PARKRIDGE SURGERY CENTER LLC
Ambulatory Health at Parkridge Dr, Columbia, SC

License number
South Carolina ASF-078
Category
Ambulatory Health
Type
Ambulatory Surgical
Owner
Name: EMILIE M KEENE
Title: ADMINISTRATOR
Phone: (803) 407-4950
Address
Address
190 Parkridge Dr STE 108, Columbia, SC 29212
National Provider ID: 1780998633
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PARKRIDGE SURGERY CENTER, LLC

Columbia, SC

Industry:
Medical Doctor's Office
Doing business as:
Palmetto Health
Registration:
Oct 23, 2001
Phone:
(803) 407-4940 (Phone)
Addresses:
190 Parkridge Dr, Columbia, SC 29212 (Physical)
300 Palmetto Health Pkwy, Columbia, SC 29212
Business type:
Domestic
Formation place:
SOUTH CAROLINA
Medical Director, Surgery-Orthopedics:
Bernard Kirol (Director),Lillian G. Kludo (Nurse Practitioner),Vince M. Vismara (Cardiology),...
Agent:
Charles D Beaman Jr

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