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UNIVERSITY MEDICAL GROUP DEPARTMENT OF OBGYN NPI 1710944749

NPI Profile

NPI: 1710944749
Provider Name: UNIVERSITY MEDICAL GROUP DEPARTMENT OF OBGYN

Doing Business As: DIVISION OF REPRODUCTIVE ENDOCRINOLOGY & INFERTILITY

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
890 W FARIS RD
SUITE 470
GREENVILLE, SC
ZIP 29605

Phone: (864) 455-1600

UNIVERSITY MEDICAL GROUP DEPARTMENT OF OBGYN is a healthcare provider in Greenville, SC. UNIVERSITY MEDICAL GROUP DEPARTMENT OF OBGYN NPI is 1710944749. The provider is registered as an organization entity type.
The provider Is Doing Business As Division Of Reproductive Endocrinology & Infertility.

The provider's business location address is:

890 W FARIS RD
SUITE 470
GREENVILLE, SC
ZIP 29605-247
Phone: (864) 455-1600
Fax: (864) 455-3095

The provider's authorized official is Paul Bruce Miller .
The authorized official title is Staff Physician and has the following contact phone number (864) 455-1600.

The enumeration date for this NPI number is 4/26/2006 and was last updated on 7/9/2007.

Map - Location of Practice

Business Address

UNIVERSITY MEDICAL GROUP DEPARTMENT OF OBGYN
890 W FARIS RD
SUITE 470
GREENVILLE, SC
ZIP 29605
Get Directions

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM1300XClinic/CenterMulti-Specialty19348SOUTH CAROLINAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1193481MEDICAIDSOUTH CAROLINA
2G61701MEDICARE UPINSOUTH 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: 6/10/2018

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