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SOUTHLAKE OBGYN LLC
NPI 1841252509
Obstetrics & Gynecology in Lexington, SC

Active since April 06, 2006
811 SOUTH LAKE DRIVE, LEXINGTON, SC 29072(803) 359-3236(803) 520-7584 Get Directions Write a Review

NPPES record last updated: August 7, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southlake Obgyn Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHLAKE OBGYN LLC (NPI 1841252509) is a healthcare organization registered as an obstetrics & gynecology in Lexington, South Carolina and active in the NPI registry since April 2006. The organization lists Traci Garnett, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1841252509
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameSOUTHLAKE OBGYN LLC
Location Address811 SOUTH LAKE DRIVELexington, SC 29072
Mailing Address811 South Lake DriveLexington, SC 29072 · (803) 359-3236 · Fax (803) 520-7584
Phone(803) 359-3236
Fax(803) 520-7584
Organization SubpartNo
Authorized OfficialTraci GarnettOffice Manager · (803) 359-3236
Enumeration DateApril 6, 2006
Last NPPES UpdateAugust 7, 2012
✔ NPI 1841252509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
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.
811 SOUTH LAKE DRIVE, Lexington, SC 29072
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Other Identifiers 3

Medicare UPINC6115
Medicare ID-Type Unspecified7544
MedicaidGP3626SC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southlake Obgyn LLC's NPI number?

The NPI number for Southlake Obgyn LLC is 1841252509. It was assigned to this organization in the NPPES registry on April 6, 2006.

Where is Southlake Obgyn LLC located?

Southlake Obgyn LLC is located at 811 South Lake Drive, Lexington, SC 29072. The listed phone number is (803) 359-3236.

What is Southlake Obgyn LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Southlake Obgyn LLC was last updated on August 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.