Organization Name: | SAUTEE COOPER BIRTHING CENTER |
NPI Number: | 1306915137 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DARWIN TILLMAN MOORE (PRESIDENT) |
Mailing Address: | 1014 Professional Court Manning |
State: | SC US |
Postal Code: | 29102 |
Phone Number: | 8034337222 |
Fax Number: | 8034337270 |
NPI Enumeration Date: | 11/07/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VX0000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Obstetrics |
Taxonomy Definition: |