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NPI 1720077282 · live from the CMS NPI Registry

Easley Ob Gyn Associates PA

Obstetrics & Gynecology, Gynecology in Easley, SC. National Provider Identifier 1720077282, active.

NPI record

NPI1720077282 Type 2 · organization
StatusActive
Primary specialtyObstetrics & Gynecology, Gynecology 207VG0400X
Practice location112 John Street, Suite 201, Easley, SC 29640
Practice phone864-855-2737
Mailing address112 John St, Suite 201, Easley, SC 29640
EnumeratedOctober 18, 2005
Last updatedAugust 22, 2020
Authorized officialJohn Warren, President

Taxonomies and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology, Gynecology primary207VG0400X8415 (SC)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.