Kershaw Urology LLC

NPI #1790937829 in Camden, South Carolina

Provider Information

NPI Number: 1790937829
Entity Type: Organization
Organization Name: Kershaw Urology LLC
Primary Specialty: Urology
Enumeration Date: Oct 21, 2008
Last Updated: Oct 21, 2008

Practice Location

Address: 1327 HAILE ST
City: Camden
State: South Carolina
ZIP Code: 29020-3001
Phone: (202) 498-0909

Authorized Official

Name: AUGUSTINE MIREKU-BOATENG
Title: CEO AND PRESIDENT
Phone: (202) 498-0909

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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