CHARLESTON WOMENS WELLNESS CENTER LLC NPI 1578626552

NPI Information

CHARLESTON WOMENS WELLNESS CENTER, LLC 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 WOMENS WELLNESS CENTER, LLC NPI is 1578626552. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5319 PARKSHIRE WAY
CHARLESTON, SC
ZIP 29418-102
Phone: (843) 767-2121
Fax: (843) 767-2102

The provider's authorized official is Paula Orr .
The authorized official title is Physician and has the following contact phone number (843) 767-2121.

The CLIA number assigned to this NPI record is 42D0977784 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/19/2006 and was last updated on 4/26/2016.

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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