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 |