Organization
MOUNT PLEASANT OB/GYN, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURALEE TABAKIAN (PRACTICE MANAGER)
(843) 884-0301
Entity
Organization
Contact information
Practice address
1400 HOSPITAL DR, MT PLEASANT, SC 29464-3255
(843) 884-0301
(843) 884-9620
Mailing address
1400 HOSPITAL DR, MT PLEASANT, SC 29464-3255
(843) 884-0301
(843) 884-9620
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
9290
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP0418
—
SC
Enumeration date
05/25/2006
Last updated
08/29/2008
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