Adult & Pediatric Urology Center of the Carolinas PA

NPI #1528018264 in Mullins, South Carolina

Provider Information

NPI Number: 1528018264
Entity Type: Organization
Organization Name: Adult & Pediatric Urology Center of the Carolinas PA
Primary Specialty: Urology
Enumeration Date: May 11, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 2835 E HWY 76
Address 2: SUITE 3
City: Mullins
State: South Carolina
ZIP Code: 29574
Phone: (843) 423-4777

Authorized Official

Name: GLENN ROSS GANGI, MD
Title: CEO
Phone: (843) 423-4777

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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