Organization · Type 2 NPI

Medical Park Ob-Gyn, PA

Specialist · Columbia, SC

NPI number 1114995974 Active

Practice location

9 Medical Park Rd, Suite 400
Columbia, SC 29203-6873

Call (803) 254-4110 Map

Fax (803) 256-3932

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X8080 (SC)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1114995974

Medical Park Ob-Gyn, PA's National Provider Identifier is 1114995974, issued on Mar 9, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Columbia, SC. The record was last updated on Aug 22, 2020.