NPI 1104912419 · live from the CMS NPI Registry
Blue Ridge Women'S Care PA
Obstetrics & Gynecology, Gynecology in Seneca, SC. National Provider Identifier 1104912419, active.
NPI record
| NPI | 1104912419 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Obstetrics & Gynecology, Gynecology 207VG0400X |
| Practice location | 112 Surgical Blvd, Suite B, Seneca, SC 29672 |
| Practice phone | 864-985-1799 |
| Enumerated | October 5, 2006 |
| Last updated | November 13, 2007 |
| Authorized official | Carol Shuler, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology, Gynecology primary | 207VG0400X | 12365 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.