Organization
EASLEY OB GYN ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MOVIUS WARREN MD (PRESIDENT)
(864) 855-2737
Entity
Organization
Contact information
Practice address
112 JOHN STREET, SUITE 201, EASLEY, SC 29640-1207
(864) 855-2737
(864) 855-2221
Mailing address
112 JOHN ST, SUITE 201, EASLEY, SC 29640-1472
(864) 855-2737
(864) 855-2221
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
8415
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084152
—
SC
Enumeration date
10/18/2005
Last updated
08/22/2020
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