NPI | 1043340623 |
---|---|
Doing Business As | CREEKSIDE WOMEN'S CARE PHYSICIANS |
Entity Type | Organization |
Authorized Contact | RENE MONTGOMERY Office Manager 843-769-5620 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
Enumeration Date | 2007-03-06 |
Last Update Date | 2020-08-22 |