Edisto Urological Associates

NPI 1063692457 - Urology - 208800000X

NPI Details
NPI 1063692457
Enumeration Date 11/14/2007
Last Updated 11/14/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name WILLIAM WALTON WILLIAM
Position OWNER
Phone (803) 534-4611
Fax (803) 534-7269
Practice Location
1175 COOK RD STE 310
ORANGEBURG SC, 29118-8201, US
Phone (803) 534-4611
Fax (803) 534-7269
Business Location
1175 COOK RD STE 310
ORANGEBURG SC, 29118-8201, US
Phone (803) 534-4611
Fax (803) 534-7269
Toxanomy
Taxonomy Code 208800000X
License State South Carolina
License Number 5227
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According to our database, Edisto Urological Associates NPI is 1063692457, taxonomy code is 208800000X and license number is 5227, license state is located at South Carolina. Edisto Urological Associates physically located at 1175 Cook Rd Ste 310, Orangeburg SC, 29118-8201. NPI Number 1033115704 has the healthcare provider type.

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1063692457 NPI number is provided on an as is basis without warranty of any kind. 1063692457 is maintained by the National Plan & Provider Enumeration System. The contents of Edisto Urological Associates are for informational purposes only.