| NPI | 1821051392 |
|---|---|
| Doing Business As | PROVIDENCE WOMENS HEALTH |
| Entity Type | Organization |
| Authorized Contact | LISA B HAM Mgr General Accounting 803-865-4583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SC 21388) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 25087) |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2008-04-20 |