# MARLBORO CLINIC CORP

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MARLBORO CLINIC CORP
- **Other names:** Women's Health Specialists
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1225258635
- **Legal business name:** MARLBORO CLINIC CORP
- **Authorized official:** DEBBIE T BREWER (PROVIDER ENROLLMENT)
- **Authorized official phone:** (615) 465-7626

## Contact information

- **Practice address:** 1076 MARLBORO WAY, SUITE 1, BENNETTSVILLE, SC 29512-2495
- **Practice address phone:** (843) 454-2294
- **Practice address fax:** (843) 454-2342
- **Mailing address:** 7100 COMMERCE WAY, SUITE 180, BRENTWOOD, TN 37027-2829
- **Mailing address phone:** (615) 465-7000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VX0000X | Obstetrics Physician | — | NULL | Yes |
| 207VX0000X | Obstetrics Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/26/2007
- **Last updated:** 04/20/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GP3861 | — | SC |
