Marlboro Clinic Corp

Primary specialty

Obstetrics PhysicianTaxonomy code 207VX0000X

Legal business name

MARLBORO CLINIC CORP

Practice address

1076 Marlboro Way
Suite 1
Bennettsville, SC 29512-2495

Phone

(843) 454-2294

Fax

(843) 454-2342

NPI assigned

Apr 26, 2007

Organization subpart

Yes

Parent organization

MARLBORO CLINIC CORPAs reported in NPPES

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

Authorized official

Name

Debbie T Brewer

Title

Provider Enrollment

Phone

(615) 465-7626

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Women's Health Specialists Doing business as

Tax ID family

Marlboro Clinic Corp2 organizations share this tax ID, including this one

Part of

Marlboro Clinic Corp

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Marlboro Clinic Corp

  • Obstetrics & Gynecology Physician
  • Bennettsville, SC
  • NPI 1275692501
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Marlboro Clinic Corp

  • Obstetrics & Gynecology Physician
  • Bennettsville, SC
  • NPI 1043219637
  NPPES parent name

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1225258635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 COMMERCE WAY",
            "address_2": "SUITE 180",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370272829",
            "telephone_number": "615-465-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1076 MARLBORO WAY",
            "address_2": "SUITE 1",
            "city": "BENNETTSVILLE",
            "state": "SC",
            "postal_code": "295122495",
            "telephone_number": "843-454-2294",
            "fax_number": "843-454-2342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARLBORO CLINIC CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARLBORO CLINIC CORP",
        "enumeration_date": "2007-04-26",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "615-465-7626"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3861",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Women's Health Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Abigail Marie Locklear
• Lisa C Long, RN
• Maye Malachi, RN
• Marlboro Adult Care Inc
• Marlboro Clinic Corp
• Marlboro Clinic Corp
• Marlboro County Council
• Marlboro County Disabilities & Special Needs Board
• Marlboro County Rescue Squad Inc
• Marlboro County School District

• Obstetrics Physician in Bennettsville, SC
• Providers in Bennettsville, SC by specialty
• Obstetrics Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.