Center of Obstetrics and Gynecology L.L.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

18924 Issued in SC

Legal business name

CENTER OF OBSTETRICS AND GYNECOLOGY L.L.C.

Practice address

8024 Myrtle Trace Dr
Conway, SC 29526-8945

Phone

(843) 347-7333

Fax

(843) 347-7288

NPI assigned

Jul 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Camille Gagne Sabbagh, M.D.

Title

Owner

Phone

(843) 347-7333

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341878400000",
    "number": "1356531271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8024 MYRTLE TRACE DR",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295268945",
            "telephone_number": "843-347-7333",
            "fax_number": "843-347-7288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8024 MYRTLE TRACE DR",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295268945",
            "telephone_number": "843-347-7333",
            "fax_number": "843-347-7288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER OF OBSTETRICS AND GYNECOLOGY L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-26",
        "last_updated": "2012-07-10",
        "status": "A",
        "authorized_official_last_name": "SABBAGH",
        "authorized_official_first_name": "CAMILLE",
        "authorized_official_middle_name": "GAGNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-347-7333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "SC",
            "license": "18924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T28725",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "790628",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frances Castillo
• Cathy Battle Family Counseling
• Causey Medical Supply
• Heather Causey
• June Causey, RN
• Matthew J Cerny Jr., MD
• Lauren Michelle Cestare, MA, LPC, NCC
• Lillian J Chambless, CRNA
• Terri L Champion, LMT
• Kathleen M Chance, CRNA

• Specialist in Conway, SC
• Providers in Conway, SC by specialty
• Specialist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; 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.