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Organization
ANDERSON UROLOGY ASSOCIATES PA
Active
Organization
ANDERSON UROLOGY ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES WILLIAM HINNANT JR. MD JD (PRES OWNER)
(864) 226-6131
Entity
Organization
Contact information
Practice address
112 ESSEX DRIVE, ANDERSON, SC 29621-3319
(864) 226-6131
(864) 225-0830
Mailing address
112 ESSEX DRIVE, ANDERSON, SC 29621-3319
(864) 226-6131
(864) 225-0830
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
15856
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00593524B
—
GA
05
—
GP2184
—
SC
Enumeration date
05/02/2006
Last updated
01/03/2012
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