Organization
PROVIDENCE UROLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARTHUR J. LIM M.D. (PHYSICIAN/CO-OWNER)
(704) 289-4361
Entity
Organization
Contact information
Practice address
1428 ELLEN ST, SUITE A, MONROE, NC 28112-5285
(704) 289-4361
(704) 283-4705
Mailing address
1428 ELLEN ST, SUITE A, MONROE, NC 28112-5285
(704) 289-4361
(704) 283-4705
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
NC
208800000X
Urology Physician
Primary
200000981
NC
208800000X
Urology Physician
200101464
NC
Other
Enumeration date
06/25/2007
Last updated
07/21/2022
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