Organization
CHARLESTON PHYSICIANS FOR WOMEN, PLLC
Active
Other names
Creekside Women's Care Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
RENE MONTGOMERY (OFFICE MANAGER)
(843) 769-5620
Entity
Organization
Contact information
Practice address
2097 HENRY TECKLENBURG DR, SUITE 312 W, CHARLESTON, SC 29414-5740
(843) 769-5620
(843) 769-5625
Mailing address
2097 HENRY TECKLENBURG DR, SUITE 312 W, CHARLESTON, SC 29414-5740
(843) 769-5620
(843) 769-5625
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
SC
Enumeration date
03/06/2007
Last updated
08/22/2020
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