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Organization
ADVANCED UROLOGY OF THE PEE DEE
Active
Organization
ADVANCED UROLOGY OF THE PEE DEE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN R. EVANS MD (OWNER)
(843) 618-8609
Entity
Organization
Contact information
Practice address
309 W PINE ST, FLORENCE, SC 29501-4726
(843) 618-8609
Mailing address
309 W PINE ST, FLORENCE, SC 29501-4726
(843) 472-5255
(843) 472-5179
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DW2056
RAILROAD MEDICARE
SC
05
—
GP6980
—
SC
Enumeration date
08/21/2015
Last updated
09/09/2026
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