| NPI | 1154438075 |
|---|---|
| Doing Business As | PARKSIDE OB-GYN |
| Entity Type | Organization |
| Authorized Contact | MELISSA OOSTDYK Coordinator, Provider Relations 864-272-0388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207VG0400X Obstetrics & Gynecology, Gynecology | |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2020-03-02 |