Medical Park Ob-gyn, Pa

NPI 1114995974 - Specialist - 174400000X

NPI Details
NPI 1114995974
Enumeration Date 03/09/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name NICOLE W NICOLE
Position MANAGER
Phone (803) 254-4110
Fax (803) 256-3932
Practice Location
9 MEDICAL PARK RD
SUITE 400
COLUMBIA SC, 29203-6873, US
Phone (803) 254-4110
Fax (803) 256-3932
Business Location
9 MEDICAL PARK RD
SUITE 400
COLUMBIA SC, 29203-6873, US
Phone (803) 254-4110
Fax (803) 256-3932
Toxanomy
Taxonomy Code 174400000X
License State South Carolina
License Number 8080
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According to our database, Medical Park Ob-gyn, Pa NPI is 1114995974, taxonomy code is 174400000X and license number is 8080, license state is located at South Carolina. Medical Park Ob-gyn, Pa physically located at 9 Medical Park Rd, Columbia SC, 29203-6873. NPI Number 1033115704 has the healthcare provider type.

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1114995974 NPI number is provided on an as is basis without warranty of any kind. 1114995974 is maintained by the National Plan & Provider Enumeration System. The contents of Medical Park Ob-gyn, Pa are for informational purposes only.