MEDICARE: OBHG ALABAMA, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207P00000X	Emergency Medicine Physician
2	208M00000X	Hospitalist Physician
3	207V00000X	Obstetrics & Gynecology Physician

General Provider Information

NPI Number	:	1881976520
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OBHG ALABAMA, P.C.

Provider Business Mailing Address
First Line	:	777 LOWNDES HILL RD BLDG 1
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29607-2131
Country	:	US
Telephone Number	:	800-967-2289
Fax Number	:	864-627-9920

Provider Business Practice Location Address
First Line	:	777 LOWNDES HILL RD BLDG 1
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29607-2131
Country	:	US
Telephone Number	:	800-967-2289
Fax Number	:	864-627-9920

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	CLIFF LAWRENCE
Credential	:
Telephone Number	:	800-967-2289

Provider Enumeration Date	:	09/19/2011
Last Update Date	:	01/10/2019

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