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 |