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NPI Code Detail

MEDICARE: OBHG RHODE ISLAND PC

MEDICARE: OBHG RHODE ISLAND PC
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician
2208M00000XHospitalist Physician
3207V00000XObstetrics & Gynecology Physician

General Provider Information

NPI Number : 1093571168
Entity Type Code : Organization
Provider Name (Legal Business Name) : OBHG RHODE ISLAND PC
Provider Business Mailing Address
First Line : 777 LOWNDES HILL RD BLDG 1
Second Line :
City : GREENVILLE
State : SC
Zip : 29607-2101
Country : US
Telephone Number : 864-908-3530
Fax Number :
Provider Business Practice Location Address
First Line : 20 POWEL AVENUE
Second Line :
City : NEWPORT
State : RI
Zip : 02840-2299
Country : US
Telephone Number : 864-908-3530
Fax Number :
Authorized Official
Title or Position : ASSISTANT SECRETARY
Name : CLIFF LAWRENCE
Credential :
Telephone Number : 864-908-3530
Provider Enumeration Date : 02/26/2024
Last Update Date : 02/26/2024

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Directions to “OBHG RHODE ISLAND PC ” Practice Location

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