Greenwood Urological P.a.

NPI #1649273749 in Greenwood, South Carolina

Provider Information

NPI Number: 1649273749
Entity Type: Organization
Organization Name: Greenwood Urological P.a.
Primary Specialty: Urology
Enumeration Date: May 23, 2005
Last Updated: Jan 19, 2015

Practice Location

Address: 109 LINER DR
City: Greenwood
State: South Carolina
ZIP Code: 29646-2311
Phone: (800) 922-4194

Authorized Official

Name: MRS. CLAUDIA E. KING
Title: ADMINISTRATOR
Phone: (800) 922-4794

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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