Organization
NEW RIVER UROLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA S LANGLEY (ADMINISTRATOR)
(843) 706-2255
Entity
Organization
Contact information
Practice address
29 PLANTATION PARK DR, SUITE 202, BLUFFTON, SC 29910-9001
(843) 706-2255
(843) 706-2257
Mailing address
PO BOX 2989, BLUFFTON, SC 29910-2989
(843) 706-2255
(843) 706-2257
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0321734
—
SC
Enumeration date
08/19/2009
Last updated
03/07/2014
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