Active NPI
Palmetto Associates for Women, Inc
- Obstetrics & Gynecology Physician
- Loris, SC
National Provider Identifier
1144469693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 31456
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 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 DirectoryNPI 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.