| NPI | 1912333626 |
|---|---|
| Doing Business As | UPSTATE OB/GYN CLEMSON |
| Entity Type | Organization |
| Authorized Contact | WILBUR GAY CFO 864-255-1904 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2013-09-26 |
| Last Update Date | 2019-06-28 |