| Parkside Ob-gyn | |
|
525 Verdae Blvd Suite 200 Greenville SC 29607-4021 | |
| (864) 272-0388 | |
| (864) 213-9237 |
| Full Name | Parkside Ob-gyn |
|---|---|
| Speciality | Pediatrics - Adolescent Medicine |
| Location | 525 Verdae Blvd, Greenville, South Carolina |
| Authorized Official Name and Position | Melissa Oostdyk (COORDINATOR, PROVIDER RELATIONS) |
| Authorized Official Contact | 8642720388 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Parkside Ob-gyn 525 Verdae Blvd Suite 200 Greenville SC 29607-4021 Ph: (864) 272-0388 | Parkside Ob-gyn 525 Verdae Blvd Suite 200 Greenville SC 29607-4021 Ph: (864) 272-0388 |
| NPI Number | 1154438075 |
|---|---|
| Provider Enumeration Date | 08/24/2006 |
| Last Update Date | 03/02/2020 |
| Certification Date | 03/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154438075 | NPI | - | NPPES |
| GP4514 | Medicaid | SC |
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