Coastal Urology Center, PA

NPI #1528010378 in Conway, South Carolina

Provider Information

NPI Number: 1528010378
Entity Type: Organization
Organization Name: Coastal Urology Center, PA
Primary Specialty: Urology
Enumeration Date: May 17, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 394 SINGLETON RIDGE RD
City: Conway
State: South Carolina
ZIP Code: 29526-9150
Phone: (843) 347-8765

Authorized Official

Name: DR. TIMOTHY JOSEPH QUILLEN, M.D.
Title: PRESIDENT
Phone: (843) 347-8765

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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