Grande Dunes Obgyn And Facial Aesthetics Pa

NPI 1033529946 - Obstetrics & Gynecology - 207V00000X

NPI Details
NPI 1033529946
Enumeration Date 04/30/2014
Last Updated 06/19/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name TATIANA LEYEN TATIANA
Position OWNER
Phone (843) 839-2229
Fax (843) 839-2230
Practice Location
1021 CIPRIANA DR STE 250
MYRTLE BEACH SC, 29572-4621, US
Phone (843) 839-2229
Fax (843) 839-2230
Business Location
1021 CIPRIANA DR STE 250
MYRTLE BEACH SC, 29572-4621, US
Phone (843) 839-2229
Fax (843) 839-2230
Toxanomy
Taxonomy Code 207V00000X
License State South Carolina
License Number SC27858
Remove 1033529946 NPI Number
 

According to our database, Grande Dunes Obgyn And Facial Aesthetics Pa NPI is 1033529946, taxonomy code is 207V00000X and license number is SC27858, license state is located at South Carolina. Grande Dunes Obgyn And Facial Aesthetics Pa physically located at 1021 Cipriana Dr Ste 250, Myrtle Beach SC, 29572-4621. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1033529946 NPI number is provided on an as is basis without warranty of any kind. 1033529946 is maintained by the National Plan & Provider Enumeration System. The contents of Grande Dunes Obgyn And Facial Aesthetics Pa are for informational purposes only.