NPI 1114995974

Medical Park Ob-Gyn, PA

Organisation Specialist Columbia, SC

Practice location

Address: 9 Medical Park Rd Suite 400, Columbia, SC 29203-6873
Phone: (803) 254-4110
Fax: (803) 256-3932

Authorised official

Name: Nicole W Popovich
Title: Manager
Phone: (803) 254-4110

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 8080 (SC)

Other Specialist providers in South Carolina →

Registry record

NPI: 1114995974
Entity type: Organization
NPI issued: 9 Mar 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.