Organization
PARKSIDE WOMENS CENTRE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUDITH L B HOOVER M.D. (PHYSICIAN)
(803) 649-7746
Entity
Organization
Contact information
Practice address
1518 TWO NOTCH RD SE, AIKEN, SC 29803-5551
(803) 649-7746
(803) 649-7730
Mailing address
PO BOX 5669, AIKEN, SC 29804-5669
(803) 649-7746
(803) 649-7730
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3641
—
SC
Enumeration date
10/17/2006
Last updated
10/28/2010
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