Marlboro OB GYN

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

10891 Issued in SC

Legal business name

MARLBORO OB GYN

Practice address

1007 Cheraw Street
Bennettsville, SC 29512

Phone

(843) 479-8357

NPI assigned

Jul 5, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John NoblesNPI 1912985219

Title

President

Phone

(843) 479-8357

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John R Nobles Jr., MD

  • Obstetrics & Gynecology Physician
  • Bennettsville, SC
  • NPI 1912985219
  NPD (past) Authorized official

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285832857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 973",
            "city": "BENNETTSVILLE",
            "state": "SC",
            "postal_code": "295120973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 CHERAW STREET",
            "city": "BENNETTSVILLE",
            "state": "SC",
            "postal_code": "29512",
            "telephone_number": "843-479-8357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARLBORO OB GYN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NOBLES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-479-8357",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "10891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP0220",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marlboro Drug Company
• Marlboro Emergency Group PC
• Marlboro Eye Care Associates, LLC
• Marlboro Family Dentistry
• Marlboro Family Dentistry Associates LLC
• Marlboro Physical Therapy
• Marlboro Prestige Home Care, LLC
• Cynthia D Maxwell, LMSW
• Terrell Bernard McCutcheon
• Michael David McDaniel, R.PH.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.