MARLBORO CLINIC CORP NPI 1225258635

NPI Information

  • NPI: 1225258635
  • Provider Name: MARLBORO CLINIC CORP
  • Classification: Obstetrics & Gynecology - 207VX0000X
  • Specialization: Obstetrics
  • Entity Type: Organization
  • Doing Business As: WOMEN'S HEALTH SPECIALISTS
  • Address: 1076 MARLBORO WAY
    SUITE 1
    BENNETTSVILLE, SC
    ZIP 29512
  • Phone: (843) 454-2294

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NPI Details

MARLBORO CLINIC CORP is an obstetrics obstetrics gynecology in Bennettsville, SC. The provider is a physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee MARLBORO CLINIC CORP NPI is 1225258635. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Women's Health Specialists.

The provider's business location address is:

1076 MARLBORO WAY
SUITE 1
BENNETTSVILLE, SC
ZIP 29512-495
Phone: (843) 454-2294
Fax: (843) 454-2342

The provider's authorized official is Debbie T Brewer .
The authorized official title is Provider Enrollment and has the following contact phone number (615) 465-7626.

The enumeration date for this NPI number is 4/26/2007 and was last updated on 4/20/2008.

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
1207VX0000XObstetrics & GynecologyObstetricsYes

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
1=========OTHERSOUTH CAROLINABCBS
2GP3861MEDICAIDSOUTH CAROLINA
35345MEDICARE PINSOUTH CAROLINA
4GRP5345MEDICARE PINSOUTH CAROLINA
5DB5409MEDICARE PIN

What is NPI?

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This page was last updated on: 11/21/2025

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