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Organization

PALMETTO WOMEN'S HEALTHCARE PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT LEE RIDGEWAY III M.D. (PRESIDENT)
(803) 433-0797
Entity
Organization

Contact information

Practice address
21 E HOSPITAL ST, MANNING, SC 29102-3152
(803) 433-0797
Mailing address
21 E HOSPITAL ST, MANNING, SC 29102-3152
(803) 433-0797

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GP2388
SC
Enumeration date
07/02/2006
Last updated
01/23/2008
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