Organization Active NPI

Palmetto Associates for Women, Inc

  • Obstetrics & Gynecology Physician
  • Loris, SC
National Provider Identifier
1144469693
Registry record updated Sep 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
31456 Issued in SC
Legal business name
PALMETTO ASSOCIATES FOR WOMEN, INC
Practice address
3710 Mishoe St
Loris, SC 29569-2822
Phone
(843) 756-4755
Fax
(843) 756-5012
NPI assigned
Feb 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Denise J Teasley, MD
Title
President
Phone
(843) 756-4755

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 31456 SC Primary

Addresses

Primary practice location

3710 Mishoe St
Loris, SC 29569-2822

Mailing address

3710 Mishoe St
Loris, SC 29569-2822
Phone (843) 756-4755

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1233878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283817600000",
    "number": "1144469693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 MISHOE ST",
            "city": "LORIS",
            "state": "SC",
            "postal_code": "295692822",
            "telephone_number": "843-756-4755",
            "fax_number": "843-746-5012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 MISHOE ST",
            "city": "LORIS",
            "state": "SC",
            "postal_code": "295692822",
            "telephone_number": "843-756-4755",
            "fax_number": "843-756-5012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO ASSOCIATES FOR WOMEN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-06",
        "last_updated": "2010-09-07",
        "status": "A",
        "authorized_official_last_name": "TEASLEY",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-756-4755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "31456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loris, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.