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 |