# ELLE OBGYN LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073029278
- **Authorized official:** JESSICA C SPARKMAN CMOM (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (864) 404-6180

## Contact information

- **Practice address:** 800 PELHAM RD STE 200, GREENVILLE, SC 29615-3300
- **Practice address phone:** (864) 609-4009
- **Practice address fax:** (864) 609-4011
- **Mailing address:** 800 PELHAM RD STE 200, GREENVILLE, SC 29615-3300
- **Mailing address phone:** (864) 609-4009
- **Mailing address fax:** (864) 609-4011

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/26/2017
- **Last updated:** 02/26/2025