Organization
BONSAIN COMPLETE WOMEN'S HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STACEY MARIE BARTLOW (BILLING)
(843) 684-5501
Entity
Organization
Contact information
Practice address
29 PLANTATION PARK DR STE 204, BLUFFTON, SC 29910-9008
(843) 715-0570
Mailing address
29 PLANTATION PARK DR STE 204, BLUFFTON, SC 29910-9008
(843) 715-0570
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
30791
SC
207VX0000X
Obstetrics Physician
30791
SC
Other
Enumeration date
05/24/2010
Last updated
05/24/2010
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