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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 |
| NPI # | 1932425790 |
| LBN Legal business name | PRESTON MEMORIAL MEDICAL GROUP |
| Authorized official | MELISSA LOCKWOOD - (PRESIDENT AND CEO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 04/19/2010 |
| Last updated | 04/19/2010 - About 16 years ago |
| Identifiers | n/a |
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PRESTON MEMORIAL MEDICAL GROUP
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PRESTON MEMORIAL MEDICAL GROUP