| NPI | 1760193379 |
|---|---|
| Doing Business As | CAROLINA WOMEN'S PHYSICIANS VISTA |
| Entity Type | Organization |
| Authorized Contact | TIFFANY AYERS Credentialing Manager 803-935-8292 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2022-12-06 |
| Last Update Date | 2022-12-06 |