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Organization
CAROLINA OB-GYN LLC
Active
Organization
CAROLINA OB-GYN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAYLE S RICHMOND MD (MANAGER/PARTNER)
(843) 651-6525
Entity
Organization
Contact information
Practice address
4017 HWY 17 BYPASS, MURRELLS INLET, SC 29576-2674
(843) 651-6525
(843) 357-5035
Mailing address
4017 HWY 17 BYPASS, PO BOX 3440, MURRELLS INLET, SC 29576-2674
(843) 651-6525
(843) 357-5035
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89014YR
—
NC
05
—
GP0739
—
SC
Enumeration date
02/07/2006
Last updated
01/11/2013
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