Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Medical Park Ob-Gyn, PA

Organization Specialist · NPI 1114995974

Medical Park Ob-Gyn, PA provides Specialist services in Columbia, South Carolina. Licensed in South Carolina. Registered with an NPI since 2006.

Licensed in
SC
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9 Medical Park Rd Ste 400
Columbia, SC 29203-6873
Phone: (803) 254-4110
Fax: (803) 256-3932
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 8080 (SC)

Record details

NPI number1114995974
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicole Popovich — Manager · (803) 254-4110
NPI enumeratedMarch 9, 2006
Last updated in NPPESAugust 22, 2020
Mailing address9 Medical Park Rd, Suite 400, Columbia, SC 29203-6873

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