Organization
CAROLINA WOMENS CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TINA M MITCHUM (OFFICE MANAGER)
(843) 851-3800
Entity
Organization
Contact information
Practice address
104B MORGAN PLACE, SUMMERVILLE, SC 29485
(843) 851-3800
(843) 851-7787
Mailing address
PO BOX 50367, SUMMERVILLE, SC 29485
(843) 851-3800
(843) 851-7787
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
10650BG
SC
207VX0000X
Obstetrics Physician
10650BG
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP0735
—
SC
Enumeration date
11/09/2006
Last updated
07/11/2007
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