Organization
SC OB-GYN ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SAMANTHA ANN CRIDER MS,CHE,CMPE (ADMINISTRATOR)
(803) 254-9225
Entity
Organization
Contact information
Practice address
1301 TAYLOR ST, SUITE 2L, COLUMBIA, SC 29201-2942
(803) 254-9225
(803) 771-7597
Mailing address
1301 TAYLOR ST, SUITE 2L, COLUMBIA, SC 29201-2942
(803) 254-9225
(803) 771-7597
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/20/2006
Last updated
09/24/2012
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