| NPI | 1457005431 |
|---|---|
| Doing Business As | PORT ROYAL OB/GYN |
| Entity Type | Organization |
| Authorized Contact | ROLAND J GARDNER Chief Executive Officer 843-987-7400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| 261QF0050X Clinic/Center, Family Planning, Non-Surgical | |
| Enumeration Date | 2022-02-08 |
| Last Update Date | 2022-02-15 |