| NPI | 1649511320 |
|---|---|
| Doing Business As | PARKRIDGE OB/GYN |
| Entity Type | Organization |
| Authorized Contact | DARRELL COVEN Director, Ambulatory Services Fin 803-296-7301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2013-03-06 |
| Last Update Date | 2016-06-24 |