Edisto Obgyn Pa in Orangeburg - Obstetrics & Gynecology
Edisto Obgyn Pa - NPI 1467407155
Edisto Obgyn Pa is a Obstetrics & Gynecology in Orangeburg, South Carolina. Edisto Obgyn Pa practices all healthcare services and medical treatments related to Obstetrics & Gynecology. The NPI Number for Edisto Obgyn Pa is 1467407155. The last update date is 2008-01-09.
Edisto Obgyn Pa's current location address is 1175 Cook Rd, Orangeburg, South Carolina. You can contact this provider via phone number 8035369390 and fax number 8035330911. The mailing address for Edisto Obgyn Pa is 1175 Cook Rd, Orangeburg, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Edisto Obgyn Pa |
|---|---|
| Address | 1175 Cook Rd, Orangeburg, South Carolina |
| Phone Number | 8035369390 |
| Fax Number | 8035330911 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Degen B Jerome |
| Credentials | MD |
| Telephone Number | 8035369390 |
NPI Number Detail
| NPI Number | 1467407155 |
|---|---|
| Provider Enumeration Date | 2006-05-23 |
| Last Updated Date | 2008-01-09 |
Provider Mailing Address Detail
| Address | 1175 Cook Rd |
|---|---|
| City | Orangeburg |
| State | South Carolina (SC) |
| Post Code | 29118 |
| Phone Number | 8035369390 |
| Fax Number | 8035330911 |
Provider's Primary Taxonomy Detail
| Speciality | Obstetrics & Gynecology |
|---|---|
| Taxonomy | 207V00000X |
| Licence No | 7054 |
|
Definition: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 70540 | SC | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Edisto Obgyn Pa by the Centers for Medicare & Medicaid Services (CMS)?
The Edisto Obgyn Pa has been assigned the NPI (National Provider Identifier) 1467407155. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Edisto Obgyn Pa?
The Edisto Obgyn Pa is physically situated at 1175 Cook Rd, in the city of Orangeburg, state of SC, with the postal code 29118.
When was the Edisto Obgyn Pa's 1467407155 issued?
The Edisto Obgyn Pa's 1467407155 was issued on 2006-05-23.
When was the Edisto Obgyn Pa's information last updated?
The Edisto Obgyn Pa's information was last updated on 2008-01-09.
When was the information pertaining to Edisto Obgyn Pa most recently updated or revised?
The details related to Edisto Obgyn Pa, including its address, specialty, and other relevant information, were last updated or revised on 2008-01-09.