Organization
CAROLINA OBGYN OF YORK COUNTY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RUTH M GROSS (PRACTICE MANAGER)
(803) 366-4171
Entity
Organization
Contact information
Practice address
360 SOUTH HERLONG AVENUE, ROCK HILL, SC 29732
(803) 366-4171
(803) 366-6890
Mailing address
360 SOUTH HERLONG AVENUE, ROCK HILL, SC 29732
(803) 366-4171
(803) 366-6890
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
23673
SC
207V00000X
Obstetrics & Gynecology Physician
541
SC
207V00000X
Obstetrics & Gynecology Physician
Primary
T5601
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PA0588
—
SC
Enumeration date
08/12/2006
Last updated
08/22/2020
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