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CAROLINA UROLOGY PARTNERS PLLC NPI 1831445212


NPI Information

NPI: 1831445212
Provider Name: CAROLINA UROLOGY PARTNERS, PLLC
Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 42D2171358

Address:
139 SUMMERPLACE DR
WEST COLUMBIA, SC
ZIP 29169
Phone: (803) 796-9968
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CAROLINA UROLOGY PARTNERS, PLLC is an urology in West Columbia, 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 PARTNERS, PLLC NPI is 1831445212. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

139 SUMMERPLACE DR
WEST COLUMBIA, SC
ZIP 29169-058
Phone: (803) 796-9968
Fax: (803) 791-0376

The provider's authorized official is Tim E Roche .
The authorized official title is Cfo / Coo and has the following contact phone number (704) 414-2852.

The CLIA number assigned to this NPI record is 42D2171358 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/3/2012 and was last updated on 6/22/2015.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208800000XUrologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
19753MEDICARE PINSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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