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Organization

CAROLINA CENTER OF GYNECOLOGICAL ONCOLOGY PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. THOMAS SCOTT JENNINGS MD FACS (PRESIDENT)
(843) 556-4380
Entity
Organization

Contact information

Practice address
1470 TOBIAS GADSON BLVD, SUITE 110, CHARLESTON, SC 29407
(843) 556-4380
(843) 571-5531
Mailing address
1470 TOBIAS GADSON BLVD, STE 110, CHARLESTON, SC 29407
(843) 556-4380
(843) 571-5531

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
207VX0201X
Gynecologic Oncology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PA3941
SC
Enumeration date
06/01/2006
Last updated
12/17/2009
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