Organization
PALMETTO ADULT AND CHILDRENS UROLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMELIA MUNKBERG (PRACTICE ADMINISTRATOR)
(843) 797-6600
Entity
Organization
Contact information
Practice address
2890 TRICOM ST, NORTH CHARLESTON, SC 29406-9171
(843) 797-6600
(843) 820-1440
Mailing address
2890 TRICOM ST, NORTH CHARLESTON, SC 29406-9171
(843) 797-6600
(843) 820-1440
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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