NPI 1841252509

Southlake Obgyn LLC

Organisation Obstetrics & Gynecology Physician Lexington, SC

Practice location

Address: 811 South Lake Drive, Lexington, SC 29072
Phone: (803) 359-3236
Fax: (803) 520-7584

Authorised official

Name: Traci Garnett
Title: Office Manager
Phone: (803) 359-3236

Registered specialties

Obstetrics & Gynecology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207V00000X

Other Obstetrics & Gynecology providers in South Carolina →

Registry record

NPI: 1841252509
Entity type: Organization
NPI issued: 6 Apr 2006
Record last updated: 7 Aug 2012

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.