Individual
KRISTINE LIAZ OGLESBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
102 MEDICAL PARK CT, CLINTON, SC 29325-7537
(864) 358-7387
(864) 938-0229
Mailing address
300 E MCBEE AVE STE 400, GREENVILLE, SC 29601-2899
(864) 695-6697
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
19201
SC
207VG0400X
Gynecology Physician
19201
SC
367A00000X
Advanced Practice Midwife
Primary
19201
SC
Other
Enumeration date
02/09/2015
Last updated
12/16/2025
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