| NPI | 1134167158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA WHITESTONE Insurance Billing Clerk 843-349-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SC 115921) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC 23311) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2015-03-10 |