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Organization
CHARLESTON WOMENS WELLNESS CENTER, LLC
Active
Organization
CHARLESTON WOMENS WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAULA ORR MD (PHYSICIAN)
(843) 767-2121
Entity
Organization
Contact information
Practice address
5319 PARKSHIRE WAY, CHARLESTON, SC 29418-2102
(843) 767-2121
(843) 767-2102
Mailing address
5319 PARKSHIRE WAY, CHARLESTON, SC 29418-2102
(843) 767-2121
(843) 767-2102
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
20332
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14069596843
MRDICARE ID
SC
01
—
GP2837
GROUP MEDICAID NUMBER
SC
05
—
T45742
—
SC
Enumeration date
12/19/2006
Last updated
04/26/2016
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