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Organization
AIKEN UROLOGICAL ASSOCIATES PA
Active
Organization
AIKEN UROLOGICAL ASSOCIATES PA
Active
Other names
Hopeland Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD PAUL VON BUEDINGEN M.D. (PRESIDENT)
(803) 648-7815
Entity
Organization
Contact information
Practice address
191 CENTRE SOUTH BLVD, STE#20, AIKEN, SC 29803-6313
(803) 648-7815
(803) 648-8028
Mailing address
191 CENTRE SOUTH BLVD, STE#20, AIKEN, SC 29803-6313
(803) 648-7815
(803) 648-8028
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
5580
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
340013053
RAILROAD MEDICARE
—
05
—
PA0999
—
SC
Enumeration date
10/25/2007
Last updated
10/27/2014
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