# KERSHAW UROLOGY, LLC

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

## Provider details

- **NPI number:** 1871730796
- **Authorized official:** DR. AUGUSTINE O MIREKU-BOATENG M.D. (OWNER/MD)
- **Authorized official phone:** (803) 272-0501

## Contact information

- **Practice address:** 1327 HAILE ST, CAMDEN, SC 29020-3001
- **Practice address phone:** (803) 272-0501
- **Mailing address:** 1327 HAILE ST, CAMDEN, SC 29020-3001
- **Mailing address phone:** (803) 272-0501

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | MD12881 | DC | Yes |

## Other

- **Enumeration date:** 01/14/2009
- **Last updated:** 01/14/2009