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Organization
AUC UROLOGISTS LLC
Active
Organization
AUC UROLOGISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT JANSEN MD (DOCTOR)
(914) 815-1382
Entity
Organization
Contact information
Practice address
135 PROFESSIONAL PARK DR, CONWAY, SC 29526-9261
(843) 347-2450
Mailing address
823 82ND PKWY, MYRTLE BEACH, SC 29572-4607
(843) 347-8600
(843) 347-8703
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
—
NULL
2085R0001X
Radiation Oncology Physician
—
—
2085R0203X
Therapeutic Radiology Physician
—
NULL
2085R0203X
Therapeutic Radiology Physician
—
—
208800000X
Urology Physician
Primary
—
NULL
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
01/08/2024
Last updated
07/16/2026
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