Organization
CENTER OF OBSTETRICS AND GYNECOLOGY L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAMILLE GAGNE SABBAGH M.D. (OWNER)
(843) 347-7333
Entity
Organization
Contact information
Practice address
8024 MYRTLE TRACE DR, CONWAY, SC 29526-8945
(843) 347-7333
(843) 347-7288
Mailing address
8024 MYRTLE TRACE DR, CONWAY, SC 29526-8945
(843) 347-7333
(843) 347-7288
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
18924
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
790628
—
NC
05
—
T28725
—
SC
Enumeration date
07/26/2007
Last updated
07/10/2012
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