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A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Gynecology |
207VG0400X | 16 | Physician/Obstetrics & Gynecology | |
General Acute Care Hospital |
282N00000X | A0[7] | Hospital-General | |
Obstetrics & Gynecology |
207V00000X | 16 | Physician/Obstetrics & Gynecology |
| NPI # | 1831467356 |
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| LBN Legal business name | PHS CENTER FOR LIFE SC 2ND FLOOR | ||||||||||||||||
| Authorized official | BEAU HIGGINBOTHAM - (VP) | ||||||||||||||||
| Entity | Organization | ||||||||||||||||
| Organization subpart 1 | Yes | ||||||||||||||||
| Enumeration date | 12/12/2011 | ||||||||||||||||
| Last updated | 07/21/2022 - About 4 years ago | ||||||||||||||||
| Identifiers |
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PHS CENTER FOR LIFE SC 2ND FLOOR
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PHS CENTER FOR LIFE SC 2ND FLOOR