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Contact Information

OBSTETRICS & GYNECOLOGY SOUTH, INC
2510 COMMONS BLVD STE 200A
BEAVERCREEK, OH45431-3829
 Phone: 937-558-3088
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Legal Medicine

173000000X
Indicates primary specialty

NPI Profile & details for OBSTETRICS GYNECOLOGY SOUTH INC · (Female)

NPI Number 1396097549
Status Active
Credentials
Entity Individual
Enumeration date 10/12/2012
Last updated 09/26/2019 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers
  • OH License # 35.043084
  • OH Medicaid 0589144
  • OH Medicaid 0723417
  • OH Medicaid 2008679
  • OH Medicaid 2109935
  • OH Medicaid 2792198
  • OH Medicaid 2864888
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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