PALMETTO FERTILITY LLC NPI 1851286645

NPI Information

  • NPI: 1851286645
  • Provider Name: PALMETTO FERTILITY, LLC
  • Classification: Obstetrics & Gynecology - 207VE0102X
  • Specialization: Reproductive Endocrinology
  • Entity Type: Organization
  • :
  • Address: 700 EXECUTIVE CENTER DR STE 300
    GREENVILLE, SC
    ZIP 29615
  • Phone: (864) 412-1950

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NPI Details

PALMETTO FERTILITY, LLC is a reproductive endocrinology obstetrics gynecology in Greenville, SC. The provider is an obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. PALMETTO FERTILITY, LLC NPI is 1851286645. The provider is registered as an organization entity type and is a single specialty group.
The provider .

The provider's business location address is:

700 EXECUTIVE CENTER DR STE 300
GREENVILLE, SC
ZIP 29615-555
Phone: (864) 412-1950
Fax: (864) 412-0640

The provider's authorized official is Diane Jean Ravech .
The authorized official title is Chief Managed Care Officer and has the following contact phone number (860) 305-6640.

The enumeration date for this NPI number is 6/11/2025 and was last updated on 6/11/2025.

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
1207VE0102XObstetrics & GynecologyReproductive EndocrinologyYes

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: 11/21/2025

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