Organization Name: | ISLAND WOMENS CARE, LLC |
NPI Number: | 1124472865 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CAROLINE G MILLAN (MANAGING MEMBER) |
Mailing Address: | 56 Business Center Dr Pawleys Island |
State: | SC US |
Postal Code: | 295857963 |
Phone Number: | 8432351222 |
Fax Number: | 8433144020 |
NPI Enumeration Date: | 04/19/2016 |
NPI Last Update Date: | 05/10/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VG0400X |
License Number: | 19188 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Gynecology |
Taxonomy Definition: |