# UROLOGY SPECIALISTS OF THE CAROLINAS

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** UROLOGY SPECIALISTS OF THE CAROLINAS PLLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1740196096
- **Legal business name:** UROLOGY SPECIALISTS OF THE CAROLINAS PLLC
- **Authorized official:** CARRIE LYNN PRUE (CREDENTIALING MANAGER)
- **Authorized official phone:** (704) 944-6330

## Contact information

- **Practice address:** 364 FORT MILL PKWY STE 101, FORT MILL, SC 29715-9810
- **Practice address phone:** (803) 825-0457
- **Practice address fax:** (704) 337-8387
- **Mailing address:** 364 FORT MILL PKWY STE 101, FORT MILL, SC 29715-9810
- **Mailing address phone:** (803) 825-0457
- **Mailing address fax:** (704) 337-8387

## Taxonomy

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

## Other

- **Enumeration date:** 08/19/2026
- **Last updated:** 08/19/2026