| NPI | 1467407155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEROME B DEGEN President 803-536-9390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SC 07054) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2008-01-09 |