| NPI | 1790921161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY B. LEVENSON President 843-347-7216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SC 09347) |
| Enumeration Date | 2009-01-06 |
| Last Update Date | 2009-01-06 |