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Organization
GREENVILLE WOMENS SERVICES
Active
Organization
GREENVILLE WOMENS SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA KEITH MD (PRESIDENT)
(864) 382-4035
Entity
Organization
Contact information
Practice address
213 HALTON RD, GREENVILLE, SC 29607-3509
(864) 382-4035
(864) 382-4040
Mailing address
PO BOX 26451, GREENVILLE, SC 29616-1451
(864) 382-4035
(864) 382-4040
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
18307
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18307
LICENSE
SC
Enumeration date
10/16/2013
Last updated
11/10/2013
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