Organization
ELLE OBGYN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA C SPARKMAN CMOM (EXECUTIVE DIRECTOR)
(864) 404-6180
Entity
Organization
Contact information
Practice address
800 PELHAM RD STE 200, GREENVILLE, SC 29615-3300
(864) 609-4009
(864) 609-4011
Mailing address
800 PELHAM RD STE 200, GREENVILLE, SC 29615-3300
(864) 609-4009
(864) 609-4011
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
12/26/2017
Last updated
02/26/2025
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