| NPI | 1356600878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVON ORMSON Regional Director 843-606-3943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology |
| Enumeration Date | 2012-05-04 |
| Last Update Date | 2018-03-17 |