| NPI | 1376783969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN L WERNER President 843-524-5455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SC 15977) |
| Enumeration Date | 2009-02-23 |
| Last Update Date | 2009-02-23 |