| Organization Name: | CONNERSVILLE OBGYN INC |
| NPI Number: | 1225182272 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | VANCE ANDRE' RAHAM (PRESIDENT) |
| Mailing Address: | 1619 N Grand Ave Connersville |
| State: | IN US |
| Postal Code: | 473312230 |
| Phone Number: | 7658250811 |
| Fax Number: | 7658275278 |
| NPI Enumeration Date: | 01/23/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | 01045645 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |