# WACCAMAW UROLOGY ASSOCIATES

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144305202
- **Authorized official:** MR. THOMAS S CERASARO MD (PRESIDENT)
- **Authorized official phone:** (842) 833-3428

## Contact information

- **Practice address:** 3911A HIGHWAY 17, MURRELLS INLET, SC 29576-5014
- **Practice address phone:** (438) 652-4000
- **Practice address fax:** (843) 652-4004
- **Mailing address:** 3911 HIGHWAY 17 STE A, MURRELLS INLET, SC 29576-5014
- **Mailing address phone:** (438) 652-4000
- **Mailing address fax:** (843) 652-4004

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 12505SC | SC | Yes |
| 208800000X | Urology Physician | 17277 | SC | — |

## Other

- **Enumeration date:** 10/26/2006
- **Last updated:** 12/05/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GP0856 | — | SC |