SOUTHLAKE OBGYN LLC

LEXINGTON, SC
NPI1841252509
Entity TypeOrganization
Authorized ContactTRACI GARNETT
Office Manager
803-359-3236
Organization Subpart ?No
Primary Taxonomy207V00000X Obstetrics & Gynecology
Enumeration Date2006-04-06
Last Update Date2012-08-07
Business Address
SOUTHLAKE OBGYN LLC
811 SOUTH LAKE DRIVE
LEXINGTON, SC 29072
Phone number: 803-359-3236
Mailing Address
SOUTHLAKE OBGYN LLC
811 SOUTH LAKE DRIVE
LEXINGTON, SC 29072
Phone number: 803-359-3236