SOUTHLAKE OBGYN LLC NPI 1841252509

NPI Information

SOUTHLAKE OBGYN LLC is an obstetrics gynecology in Lexington, 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. SOUTHLAKE OBGYN LLC NPI is 1841252509. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

811 SOUTH LAKE DRIVE
LEXINGTON, SC
ZIP 29072
Phone: (803) 359-3236
Fax: (803) 520-7584

The provider's authorized official is Traci Garnett .
The authorized official title is Office Manager and has the following contact phone number (803) 359-3236.

The enumeration date for this NPI number is 4/6/2006 and was last updated on 8/7/2012.

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

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