PS121 MANAGEMENT PA is an obstetrics gynecology in Greenville, SC. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. PS121 MANAGEMENT PA NPI is 1699252163. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Vida Gynecology.
The provider's business location address is:
330C PELHAM RD STE A
GREENVILLE, SC
ZIP 29615-111
Phone: (864) 720-1299
Fax: (864) 720-1300
The provider's authorized official is Bryanna Wyatt .
The authorized official title is Office Manager and has the following contact phone number (864) 720-1299.
The CLIA number assigned to this NPI record is 42D2114688 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 7/26/2018 and was last updated on 5/24/2023.