VIDANT MEDICAL GROUP LLC NPI 1639153448

NPI Information

VIDANT MEDICAL GROUP LLC is an urology in Greenville, NC. 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. VIDANT MEDICAL GROUP LLC NPI is 1639153448. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Vidant Urology-greenville.

The provider's business location address is:

275 BETHESDA DR
GREENVILLE, NC
ZIP 27834-217
Phone: (252) 752-5077
Fax: (252) 752-9544

The provider's authorized official is Carrilee D Andreu-neel .
The authorized official title is Practice Administrator and has the following contact phone number (252) 816-1137.

The enumeration date for this NPI number is 12/5/2005 and was last updated on 9/11/2019.

Taxonomy Codes

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