CAROLINA CENTER OF GYNECOLOGICAL ONCOLOGY PA NPI 1023055688

NPI Information

CAROLINA CENTER OF GYNECOLOGICAL ONCOLOGY PA is a gynecologic oncology obstetrics gynecology in Charleston, SC. The provider is an obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. CAROLINA CENTER OF GYNECOLOGICAL ONCOLOGY PA NPI is 1023055688. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1470 TOBIAS GADSON BLVD
SUITE 110
CHARLESTON, SC
ZIP 29407
Phone: (843) 556-4380
Fax: (843) 571-5531

The provider's authorized official is Thomas Scott Jennings .
The authorized official title is President and has the following contact phone number (843) 556-4380.

The enumeration date for this NPI number is 6/1/2006 and was last updated on 12/17/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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