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Organization
SUMTER UROLOGICAL, LLC
Active
Organization
SUMTER UROLOGICAL, LLC
Active
Other names
Sumter Urological Associates, PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT LEE M.D. (PRESEDENT)
(803) 469-4402
Entity
Organization
Contact information
Practice address
410 W WESMARK BLVD, SUMTER, SC 29150-1983
(803) 469-4402
(803) 469-4473
Mailing address
410 W WESMARK BLVD, SUMTER, SC 29150-1983
(803) 469-4402
(803) 469-4473
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
208800000X
Urology Physician
Primary
—
NULL
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PA0276
—
SC
Enumeration date
08/21/2006
Last updated
03/10/2008
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