NPI | 1891187696 |
---|---|
Doing Business As | OAKLEAF CLINICS, SC - SOUTHSIDE OB-GYN |
Entity Type | Organization |
Authorized Contact | JULIE M SMITH Credentialing Rep Business Office 715-930-6560 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology |
207VX0000X Obstetrics & Gynecology, Obstetrics | |
Enumeration Date | 2015-03-03 |
Last Update Date | 2018-08-15 |