Organization
SUMTER UROLOGICAL, LLC
Active
Other names
Sumter Urological Associates, PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT LEE M.D. (PRESEDENT)
(803) 469-4402
Entity
Organization
Contact information
Practice address
410 W WESMARK BLVD, SUMTER, SC 29150-1983
(803) 469-4402
(803) 469-4473
Mailing address
410 W WESMARK BLVD, SUMTER, SC 29150-1983
(803) 469-4402
(803) 469-4473
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PA0276
—
SC
Enumeration date
08/21/2006
Last updated
03/10/2008
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