Organization
HCGH OB GYN ASSOCIATES SERIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY SHIFFLETT (ADMINISTRATOR)
(410) 977-5128
Entity
Organization
Contact information
Practice address
10710 CHARTER DR, SUITE 200, COLUMBIA, MD 21044-2912
(410) 740-8587
(410) 740-8587
Mailing address
10710 CHARTER DR, SUITE 200, COLUMBIA, MD 21044-2912
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
411299701
—
MD
Enumeration date
07/26/2006
Last updated
02/26/2020
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