# SOUTH SHORE WOMEN'S HEALTH CARE PC

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

## Provider details

- **NPI number:** 1649494246
- **Authorized official:** MRS. RACHAEL E PROCTOR M.D. (PRESIDENT)
- **Authorized official phone:** (269) 428-2800

## Contact information

- **Practice address:** 2690 S CLEVELAND AVENUE, ST. JOSEPH, MI 49085-3002
- **Practice address phone:** (269) 428-2800
- **Practice address fax:** (269) 428-7177
- **Mailing address:** 2690 S CLEVELAND AVENUE, ST. JOSEPH, MI 49085-3002
- **Mailing address phone:** (269) 428-2800
- **Mailing address fax:** (269) 428-7177

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | RP073123 | MI | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |

## Other

- **Enumeration date:** 04/13/2007
- **Last updated:** 05/18/2011