Organization
KEOWEE FAMILY UROLOGY
Active
Parent organization
OCONEE PHYSICIAN PRACTICES
Other names
Keowee Family Urology DME
Organization subpart
Yes
Provider details
NPI number
Legal business name
OCONEE PHYSICIAN PRACTICES
Authorized official
BRYAN M. MCCAIN (EXECUTIVE DIRECTOR)
(864) 885-7673
Entity
Organization
Contact information
Practice address
107 OMNI DR, SUITE A, SENECA, SC 29672-9448
(864) 885-7475
(864) 885-7476
Mailing address
PO BOX 601082, CHARLOTTE, NC 28260-1082
(864) 885-7989
(864) 885-7867
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/11/2012
Last updated
04/11/2012
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