| NPI | 1093265456 |
|---|---|
| Doing Business As | VIDA GYNECOLOGY |
| Entity Type | Organization |
| Authorized Contact | MELISSA KAY OOSTDYK Coordinator, Provider Relations 864-720-1299 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2016-10-10 |