Obstetrix Medical Group Of Atlanta, LLC
Obstetrics & Gynecology, Maternal & Fetal Medicine in Myrtle Beach, SC. Organization (NPI-2).
NPI number1609617166
StatusActive
Last updated in NPPESOct 23, 2024
Details
- NPI
- 1609617166
- Entity type
- Organization (NPI-2)
- Legal business name
- Obstetrix Medical Group Of Atlanta, LLC
- Organization subpart
- No
- Enumeration date
- Jun 6, 2024
- Certification date
- Oct 23, 2024
- Last updated
- Oct 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207VM0101X | Obstetrics & Gynecology, Maternal & Fetal Medicine | – | – | Yes |
Other names
- Maternal Fetal Diagnostic Center Of Atlanta (Doing Business As)
Practice location
199 Village Center Blvd Ste 110Myrtle Beach, SC 29579-3589
Phone 843-236-7878 · Fax 855-527-5510
Mailing address
1301 Concord TerSunrise, FL 33323-2843
Phone 800-243-3839
Authorized official
Susanne Heck
President
8002433839
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Maternal & Fetal Medicine Physician providers in Myrtle Beach, SC
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.