Organization
LANCASTER WOMEN'S CENTER,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS L. TIEDT MD (PRESIDENT)
(803) 286-6922
Entity
Organization
Contact information
Practice address
1370 W MEETING ST, LANCASTER, SC 29720-2222
(803) 286-6922
(803) 286-4878
Mailing address
PO BOX 1897, LANCASTER, SC 29721-1897
(803) 286-6922
(803) 286-4878
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
27304
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP0072
—
SC
Enumeration date
05/20/2006
Last updated
03/16/2015
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