Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Palmetto Health

Organization Family Medicine Physician · NPI 1063690675

Palmetto Health provides Family Medicine Physician services in Blythewood, South Carolina. Registered with an NPI since 2008.

In the registry since
2008

Practice location Address checks out

738 University Village Dr
Blythewood, SC 29016-7611 Not confirmed with CMS for 13 years — call before visiting
Phone: (803) 461-0270
Fax: (803) 462-0275
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1063690675
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPalmetto Health
Authorized official Darrell Coven — Director, Ambulatory Svcs - Finance · (803) 296-7301
Other names Blythewood Urgent Care
NPI enumeratedFebruary 6, 2008
Last updated in NPPESSeptember 11, 2013
Mailing addressPo Box 402145, Atlanta, GA 30384-2145

Other providers in Blythewood