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Organization
TRIBE513, P.A.
Active
Organization
TRIBE513, P.A.
Active
Other names
Parkside OB-GYN
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA OOSTDYK (COORDINATOR, PROVIDER RELATIONS)
(864) 272-0388
Entity
Organization
Contact information
Practice address
525 VERDAE BLVD, SUITE 200, GREENVILLE, SC 29607-4021
(864) 272-0388
(864) 213-9237
Mailing address
525 VERDAE BLVD, SUITE 200, GREENVILLE, SC 29607-4021
(864) 272-0388
(864) 213-9237
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
SC
207VG0400X
Gynecology Physician
—
—
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4514
—
SC
Enumeration date
08/24/2006
Last updated
03/02/2020
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