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Contact Information

EASLEY OB GYN ASSOCIATES PA
112 JOHN STREET
SUITE 201
EASLEY, SC29640-1207
 Phone: 864-855-2737
 Fax: 864-855-2221
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for EASLEY OB GYN ASSOCIATES PA · (Female)

NPI # 1720077282
Status Active
Credentials
Entity Individual
Enumeration date 10/18/2005
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • SC License # 8415
  • SC Medicaid 084152
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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