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Organization
CHARLESTON PHYSICIANS FOR WOMEN, PLLC
Active
Organization
CHARLESTON PHYSICIANS FOR WOMEN, PLLC
Active
Other names
Creekside Women's Care Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
RENE MONTGOMERY (OFFICE MANAGER)
(843) 769-5620
Entity
Organization
Contact information
Practice address
2097 HENRY TECKLENBURG DR, SUITE 312 W, CHARLESTON, SC 29414-5740
(843) 769-5620
(843) 769-5625
Mailing address
2097 HENRY TECKLENBURG DR, SUITE 312 W, CHARLESTON, SC 29414-5740
(843) 769-5620
(843) 769-5625
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
SC
Enumeration date
03/06/2007
Last updated
08/22/2020
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