| NPI | 1487750006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAROLD A MOORE Physician Manager 803-254-3230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SC 5974) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2020-08-22 |