| NPI | 1699252163 |
|---|---|
| Doing Business As | VIDA GYNECOLOGY |
| Entity Type | Organization |
| Authorized Contact | BRYANNA WYATT Office Manager 864-720-1299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2023-05-24 |