Edisto Urological Associates
NPI #1063692457 in Orangeburg, South Carolina
Provider Information
- NPI Number
- 1063692457
- Entity Type
- Organization
- Organization Name
- Edisto Urological Associates
- Primary Specialty
- Urology
- Enumeration Date
- Nov 14, 2007
- Last Updated
- Nov 14, 2007
Practice Location
- Address
- 1175 COOK RD STE 310
- City
- Orangeburg
- State
- South Carolina
- ZIP Code
- 29118-8201
- Phone
- (803) 534-4611
Authorized Official
- Name
- DR. WILLIAM WALTON MIMS, M.D.
- Title
- OWNER
- Phone
- (803) 534-4611
Specialties & Taxonomy Codes
| Specialty |
|---|
| Urology |
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