# KERSHAW UROLOGY LLC

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

## Provider details

- **NPI number:** 1790937829
- **Authorized official:** AUGUSTINE MIREKU-BOATENG (CEO AND PRESIDENT)
- **Authorized official phone:** (202) 498-0909

## Contact information

- **Practice address:** 1327 HAILE ST, CAMDEN, SC 29020-3001
- **Practice address phone:** (202) 498-0909
- **Mailing address:** 1327 HAILE ST, CAMDEN, SC 29020-3001

## Taxonomy

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

## Other

- **Enumeration date:** 10/21/2008
- **Last updated:** 10/21/2008