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Organization
PALMETTO ADULT AND CHILDRENS UROLOGY PA
Active
Organization
PALMETTO ADULT AND CHILDRENS UROLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMELIA MUNKBERG (PRACTICE ADMINISTRATOR)
(843) 797-6600
Entity
Organization
Contact information
Practice address
2890 TRICOM ST, NORTH CHARLESTON, SC 29406-9171
(843) 797-6600
(843) 820-1440
Mailing address
2890 TRICOM ST, NORTH CHARLESTON, SC 29406-9171
(843) 797-6600
(843) 820-1440
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
NULL
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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