Organization
OLIVE TREE ENTERPRISES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH A RANDOLPH (ADMINISTRATOR)
(864) 423-6093
Entity
Organization
Contact information
Practice address
2416 E TYGER BRIDGE RD, GREER, SC 29651-4953
(864) 423-6093
Mailing address
2416 E TYGER BRIDGE RD, GREER, SC 29651-4953
(864) 423-6093
Taxonomy
Speciality
Code
Description
License number
State
175M00000X
Lay Midwife
Primary
035
SC
Other
Enumeration date
08/18/2008
Last updated
08/18/2008
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