Organization
WOMAN'S WELLNESS CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VANESSA G NILES MD (PRESIDENT)
(843) 347-4600
Entity
Organization
Contact information
Practice address
2376 CYPRESS CIR, SUITE 203, CONWAY, SC 29526-8964
(843) 347-4660
(843) 347-6495
Mailing address
2376 CYPRESS CIR, SUITE 203, CONWAY, SC 29526-8964
(843) 347-4660
(843) 347-6495
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
13889
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP2992
—
SC
Enumeration date
01/23/2006
Last updated
08/22/2020
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