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PALMETTO OB/GYN PHYSICIANS, PA

Physicians Obstetrics & Gynecology Obstetrics

Provider NPI: 1962767756

Organization Information:
Organization Name:  PALMETTO OB/GYN PHYSICIANS, PA
Organization is not Subpart
Authorized Official:  DEBORAH S. BREDESTEGE  OWNER  843-851-3800

Practice Location:
104B MORGAN PL  SUMMERVILLE, SC 29485-8106 US
Tel: 843-851-3800  Fax: 843-851-7787

Business Mailing Address:
104B MORGAN PL  SUMMERVILLE, SC 29485-8106 US
Tel: 843-851-3800  Fax: 843-851-7787

NPI Information:
NPI: 1962767756
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N207VX0000XPhysicians
Obstetrics & Gynecology
Obstetrics
SC
Y207VG0400XPhysicians
Obstetrics & Gynecology
SC

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 207VG0400X

Type:

Classification:



Definition:



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