Kershaw Urology, LLC

NPI #1871730796 in Camden, South Carolina

Provider Information

NPI Number: 1871730796
Entity Type: Organization
Organization Name: Kershaw Urology, LLC
Primary Specialty: Urology
Enumeration Date: Jan 14, 2009
Last Updated: Jan 14, 2009

Practice Location

Address: 1327 HAILE ST
City: Camden
State: South Carolina
ZIP Code: 29020-3001
Phone: (803) 272-0501

Authorized Official

Name: DR. AUGUSTINE O MIREKU-BOATENG, M.D.
Title: OWNER/MD
Phone: (803) 272-0501

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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