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CHARLESTON PHYSICIANS FOR WOMEN PLLC NPI 1043340623


NPI Information

NPI: 1043340623
Provider Name: CHARLESTON PHYSICIANS FOR WOMEN, PLLC

Doing Business As: CREEKSIDE WOMEN'S CARE PHYSICIANS

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 42D0898545

Address:
2097 HENRY TECKLENBURG DR
SUITE 312 W
CHARLESTON, SC
ZIP 29414
Phone: (843) 769-5620
Get Directions

CHARLESTON PHYSICIANS FOR WOMEN, PLLC is an obstetrics gynecology in Charleston, SC. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. CHARLESTON PHYSICIANS FOR WOMEN, PLLC NPI is 1043340623. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Creekside Women's Care Physicians.

The provider's business location address is:

2097 HENRY TECKLENBURG DR
SUITE 312 W
CHARLESTON, SC
ZIP 29414-740
Phone: (843) 769-5620
Fax: (843) 769-5625

The provider's authorized official is Rene Montgomery .
The authorized official title is Office Manager and has the following contact phone number (843) 769-5620.

The CLIA number assigned to this NPI record is 42D0898545 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/6/2007 and was last updated on 8/22/2020.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1PENDINGMEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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