NPI 1114983038 · live from the CMS NPI Registry
Gynecologic Oncology Associates, P.A.
Clinical Nurse Specialist, Oncology in Greenville, SC. National Provider Identifier 1114983038, active.
NPI record
| NPI | 1114983038 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Clinical Nurse Specialist, Oncology 364SX0200X |
| Practice location | 900 W Faris Rd, Greenville, SC 29605 |
| Practice phone | 864-455-5520 |
| Mailing address | Po Box 25277, Greenville, SC 29616 |
| Enumerated | April 21, 2006 |
| Last updated | September 11, 2025 |
| Authorized official | Larry Puls, Physician |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology, Gynecologic Oncology | 207VX0201X | — |
| Clinical Nurse Specialist, Oncology primary | 364SX0200X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.