| NPI | 1669470357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J SIDNEY FULMER Md 864-582-4567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: SC 4891) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2020-08-22 |