Santee Cooper Ob Gyn Assoc Pa

LBN: Santee Cooper Ob Gyn Assoc Pa
Santee Cooper Ob Gyn Assoc Pa is an health care organization with primary practice located at 1014 Professional Ct , Manning SC 29102-2827. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty. Santee Cooper Ob Gyn Assoc Pa can be contacted via phone (803) 433-7262, or through Moore, Dorwin Tillman via phone (803) 433-7262.

Contact Information

Primary practice address
1014 Professional Ct Manning SC 29102-2827
Phone: (803) 433-7262
Fax: (803) 433-7271
Website:
Map and Directions
Authorized official contact:
Name: Moore, Dorwin Tillman Doctor of Medicine (MD)
Phone: (803) 433-7262

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X

Profile Details

NPI number 1548280977
LBN Legal business name Santee Cooper Ob Gyn Assoc Pa
DBA Doing business as
Authorized official Moore, Dorwin Tillman Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 20th, 2006
Last updated Nov 19th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1548280977 NPPES
South Carolina MEDICAID GP0617

Popular Providers