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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 Specialty Code Provider Type

Gynecologic Oncology

207VX0201X 16 Physician/Obstetrics & Gynecology
 

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for CAROLINA CENTER OF GYNECOLOGICAL ONCOLOGY PA

NPI # 1023055688
LBN Legal business name CAROLINA CENTER OF GYNECOLOGICAL ONCOLOGY PA
Authorized official THOMAS JENNINGS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/01/2006
Last updated 12/17/2009 - About 16 years ago
Identifiers
SC Medicaid PA3941
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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