# CAROLINA FAMILY UROLOGY

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

## Provider details

- **NPI number:** 1497078067
- **Authorized official:** DAVID W BRANDLI MD (OWNER)
- **Authorized official phone:** (843) 871-5220

## Contact information

- **Practice address:** 109 BURTON AVE STE F, SUMMERVILLE, SC 29485-8117
- **Practice address phone:** (843) 871-5220
- **Practice address fax:** (843) 871-5547
- **Mailing address:** 109 BURTON AVE STE F, SUMMERVILLE, SC 29485-8117
- **Mailing address phone:** (843) 871-5220
- **Mailing address fax:** (843) 871-5547

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 23790 | SC | Yes |

## Other

- **Enumeration date:** 03/10/2010
- **Last updated:** 03/10/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1356330260 | NPI | SC |
| 05 | — | APPLYING | — | SC |
| 05 | — | T80310 | — | SC |