Organization
SOUTH COUNTY UROLOGICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABRAHAM S HAWATMEH M.D. (OWNER)
(314) 843-8000
Entity
Organization
Contact information
Practice address
12345 W BEND DR, SUITE 200, SAINT LOUIS, MO 63128-2104
(314) 843-8000
(314) 843-3004
Mailing address
12345 W BEND DR, SUITE 200, SAINT LOUIS, MO 63128-2104
(314) 843-8000
(314) 843-3004
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
08/03/2006
Last updated
08/22/2020
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