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Organization
CAROLINA FAMILY UROLOGY
Active
Organization
CAROLINA FAMILY UROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID W BRANDLI MD (OWNER)
(843) 871-5220
Entity
Organization
Contact information
Practice address
109 BURTON AVE STE F, SUMMERVILLE, SC 29485-8117
(843) 871-5220
(843) 871-5547
Mailing address
109 BURTON AVE STE F, SUMMERVILLE, SC 29485-8117
(843) 871-5220
(843) 871-5547
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
23790
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356330260
NPI
SC
05
—
APPLYING
—
SC
05
—
T80310
—
SC
Enumeration date
03/10/2010
Last updated
03/10/2010
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