Organization
COVENANT BIRTH CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA S. BYRD LM, CPM (EXECUTIVE DIRECTOR)
(803) 794-5889
Entity
Organization
Contact information
Practice address
1900 SUNSET BLVD, SUITE A, WEST COLUMBIA, SC 29169-5932
(803) 794-5889
Mailing address
1900 SUNSET BLVD, SUITE A, WEST COLUMBIA, SC 29169-5932
(803) 794-5889
Taxonomy
Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary
BC-006
SC
Other
Enumeration date
12/17/2007
Last updated
12/17/2007
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