CAROLINA UROLOGY CENTER PA NPI 1336164227

NPI Information

CAROLINA UROLOGY CENTER, PA is an urology in Lancaster, SC. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. CAROLINA UROLOGY CENTER, PA NPI is 1336164227. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1077 W MEETING ST
SUITE A
LANCASTER, SC
ZIP 29720-205
Phone: (803) 285-1337
Fax: (803) 285-4772

The provider's authorized official is Tracy Black .
The authorized official title is Practice Manager and has the following contact phone number (803) 327-1116.

The CLIA number assigned to this NPI record is 42D0253486 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 7/13/2006 and was last updated on 10/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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