Santee Cooper Ob Gyn Assoc PA

NPI #1548280977 in Manning, South Carolina

Provider Information

NPI Number: 1548280977
Entity Type: Organization
Organization Name: Santee Cooper Ob Gyn Assoc PA
Primary Specialty: Obstetrics & Gynecology
Enumeration Date: Jul 20, 2006
Last Updated: Nov 19, 2011

Practice Location

Address: 1014 PROFESSIONAL CT
City: Manning
State: South Carolina
ZIP Code: 29102-2827
Phone: (803) 433-7262

Authorized Official

Name: DR. DORWIN TILLMAN MOORE, MD
Title: PRESIDENT
Phone: (803) 433-7262

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X	Primary

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