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Physicians Obstetrics & Gynecology Obstetrics

Provider NPI: 1962767756

Organization Information:
Organization is not Subpart
Authorized Official:  DEBORAH S. BREDESTEGE  OWNER  843-851-3800

Practice Location:
Tel: 843-851-3800  Fax: 843-851-7787

Business Mailing Address:
Tel: 843-851-3800  Fax: 843-851-7787

NPI Information:
NPI: 1962767756
Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
Obstetrics & Gynecology
Obstetrics & Gynecology

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 207VG0400X





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