# PARKSIDE WOMENS CENTRE, LLC

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

## Provider details

- **NPI number:** 1790865087
- **Authorized official:** MRS. JUDITH L B HOOVER M.D. (PHYSICIAN)
- **Authorized official phone:** (803) 649-7746

## Contact information

- **Practice address:** 1518 TWO NOTCH RD SE, AIKEN, SC 29803-5551
- **Practice address phone:** (803) 649-7746
- **Practice address fax:** (803) 649-7730
- **Mailing address:** PO BOX 5669, AIKEN, SC 29804-5669
- **Mailing address phone:** (803) 649-7746
- **Mailing address fax:** (803) 649-7730

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 170100000X | Ph.D. Medical Genetics | — | SC | Yes |

## Other

- **Enumeration date:** 10/17/2006
- **Last updated:** 10/28/2010
