# UPSTATE UROLOGY AND ASSOCIATES, P.A.

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

## Provider details

- **NPI number:** 1669437083
- **Authorized official:** DR. WILLIAM F. FLANAGAN M.D. (PHYSICIAN)
- **Authorized official phone:** (864) 295-1031

## Contact information

- **Practice address:** 8 MEMORIAL MEDICAL CT, STE. 6, GREENVILLE, SC 29605-4455
- **Practice address phone:** (864) 295-1031
- **Practice address fax:** (864) 269-1639
- **Mailing address:** 8 MEMORIAL MEDICAL CT, STE. 6, GREENVILLE, SC 29605-4455
- **Mailing address phone:** (864) 295-1031
- **Mailing address fax:** (864) 269-1639

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | 15432 | SC | Yes |

## Other

- **Enumeration date:** 04/19/2006
- **Last updated:** 03/11/2011
