| NPI | 1730354259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD E. MOORE Owner 803-779-6320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: SC 10002) |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2008-04-25 |