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NPI Code Detail

MEDICARE: GYNECOLOGY GROUP OF HILTON HEAD, LLC

MEDICARE: GYNECOLOGY GROUP OF HILTON HEAD, LLC
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
1207VG0400XGynecology Physician18140SC

General Provider Information

NPI Number : 1710208137
Entity Type Code : Organization
Provider Name (Legal Business Name) : GYNECOLOGY GROUP OF HILTON HEAD, LLC
Provider Business Mailing Address
First Line : 4101 MAIN ST
Second Line : SUITE B
City : HILTON HEAD
State : SC
Zip : 29926-4608
Country : US
Telephone Number : 843-681-9011
Fax Number : 843-681-9013
Provider Business Practice Location Address
First Line : 4101 MAIN ST
Second Line : SUITE B
City : HILTON HEAD
State : SC
Zip : 29926-4608
Country : US
Telephone Number : 843-681-9011
Fax Number : 843-681-9013
Authorized Official
Title or Position : OWNER
Name : DR. ROBERT V CUMMINGS
Credential : MD
Telephone Number : 843-681-9011
Provider Enumeration Date : 06/21/2010
Last Update Date : 07/01/2010

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Directions to “GYNECOLOGY GROUP OF HILTON HEAD, LLC ” Practice Location

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