| NPI | 1093727638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH M GROSS Practice Manager 803-366-4171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SC T5601) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC 541) |
| 207V00000X Obstetrics & Gynecology (Licence: SC 23673) | |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2020-08-22 |