Organization · Type 2 NPI

Tribe513, PA

Obstetrics & Gynecology Physician · Greenville, SC

NPI number 1093265456 Active

Practice location

274 Commonwealth Dr, Suite A
Greenville, SC 29615-4869

Fax (864) 720-1300

Specialties and licenses

Taxonomy	Code	License
Obstetrics & Gynecology Physician Primary	207V00000X	None listed
Gynecology Physician	207VG0400X	None listed

Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

7 other providers at this address

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NPI record

NPI: 1093265456
Entity type: Organization (Type 2)
Issued: Oct 10, 2016
Last updated: Oct 10, 2016
Status: Active
Subpart: Yes of Tribe513, P.a.

Other names

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Vida Gynecology · doing business as

Authorized official

Mrs. Melissa Kay Oostdyk
Coordinator, Provider Relations
(864) 720-1299

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1093265456

Tribe513, PA's National Provider Identifier is 1093265456, issued on Oct 10, 2016. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Greenville, SC. The record was last updated on Oct 10, 2016.