# SUMTER UROLOGICAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sumter Urological Associates, PA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164537635
- **Authorized official:** DR. ROBERT LEE M.D. (PRESEDENT)
- **Authorized official phone:** (803) 469-4402

## Contact information

- **Practice address:** 410 W WESMARK BLVD, SUMTER, SC 29150-1983
- **Practice address phone:** (803) 469-4402
- **Practice address fax:** (803) 469-4473
- **Mailing address:** 410 W WESMARK BLVD, SUMTER, SC 29150-1983
- **Mailing address phone:** (803) 469-4402
- **Mailing address fax:** (803) 469-4473

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | — |
| 208800000X | Urology Physician | — | NULL | Yes |
| 208800000X | Urology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/21/2006
- **Last updated:** 03/10/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | PA0276 | — | SC |