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Organization

OBHG VERMONT PC

Active
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Organization

OBHG VERMONT PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DENISE BURNS (ASSISTANT SECRETARY)
(864) 908-3530
Entity
Organization

Contact information

Practice address
44 S MAIN ST, RANDOLPH, VT 05060-1381
(864) 908-3530
Mailing address
777 LOWNDES HILL RD BLDG 1, GREENVILLE, SC 29607-2101
(864) 908-3530

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
208M00000X
Hospitalist Physician
—
—

Other

Enumeration date
03/03/2023
Last updated
03/03/2023
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