| NPI | 1649507351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY ANN BLUSEWICZ President 843-341-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SC 26583) |
| Enumeration Date | 2009-11-17 |
| Last Update Date | 2024-01-29 |