# UROLOGY SPECIALISTS OF SOUTH CAROLINA LLC

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

## Provider details

- **NPI number:** 1356123632
- **Authorized official:** DR. BRIAN ROBERTS MD (MEMBER)
- **Authorized official phone:** (843) 449-1010

## Contact information

- **Practice address:** 823 82ND PKWY, MYRTLE BEACH, SC 29572-4607
- **Practice address phone:** (843) 449-1010
- **Practice address fax:** (843) 497-6171
- **Mailing address:** 823 82ND PKWY, MYRTLE BEACH, SC 29572-4607
- **Mailing address phone:** (843) 449-1010
- **Mailing address fax:** (843) 497-6171

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | — | NULL | Yes |
| 208800000X | Urology Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/20/2023
- **Last updated:** 10/20/2023