Organization
CAROLINA OBGYN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GAYLE RICHMOND (MANAGING PARTNER)
(843) 651-6525
Entity
Organization
Contact information
Practice address
4017 BYPASS 17, MURRELLS INLET, SC 29576
(843) 651-6525
(843) 357-5035
Mailing address
PO BOX 3440, MURRELLS INLET, SC 29576
(843) 651-6525
(843) 357-0768
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP0739
—
SC
Enumeration date
05/08/2013
Last updated
05/08/2013
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