NPI 1023055688 · live from the CMS NPI Registry
Carolina Center Of Gynecological Oncology PA
Obstetrics & Gynecology, Gynecologic Oncology in Charleston, SC. National Provider Identifier 1023055688, active.
NPI record
| NPI | 1023055688 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Obstetrics & Gynecology, Gynecologic Oncology 207VX0201X |
| Practice location | 1470 Tobias Gadson Blvd, Suite 110, Charleston, SC 29407 |
| Practice phone | 843-556-4380 |
| Mailing address | 1470 Tobias Gadson Blvd, Ste 110, Charleston, SC 29407 |
| Enumerated | June 1, 2006 |
| Last updated | December 17, 2009 |
| Authorized official | Thomas Jennings, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology, Gynecology | 207VG0400X | — |
| Obstetrics & Gynecology, Gynecologic Oncology primary | 207VX0201X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.