National Provider Identifier Database

CAROLINA CENTER OF GYNECOLOGICAL ONCOLOGY PA
Gynecologic Oncology

An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.


Contact Information

CAROLINA CENTER OF GYNECOLOGICAL ONCOLOGY PA
1470 TOBIAS GADSON BLVD
SUITE 110
CHARLESTON, SC29407
Phone: 843-556-4380
Fax: 843-571-5531
Website:
Specialty Taxonomy Code
* Gynecologic Oncology 207VX0201X
Gynecology 207VG0400X

* Indicates primary specialty

NPI Profile & details for CAROLINA CENTER OF GYNECOLOGICAL ONCOLOGY PA

NPI Number 1023055688
Legal business name
LBN
CAROLINA CENTER OF GYNECOLOGICAL ONCOLOGY PA
Authorized official THOMAS JENNINGS - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 06/01/2006
Last updated 12/17/2009 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • SC Medicaid: PA3941

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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