| NPI | 1104047653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY A BLUSEWICZ Owner/Physician 843-341-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: SC 26583) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2024-01-29 |