Organization
LAURENS UROLOGICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CLAUDIA E. KING (ADMINISTRATOR)
(864) 938-0211
Entity
Organization
Contact information
Practice address
300 PLAZA CIR, CLINTON, SC 29325-7557
(864) 938-0211
(864) 938-0135
Mailing address
300 PLAZA CIR, CLINTON, SC 29325-7557
(864) 938-0211
(864) 938-0135
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP2109
—
SC
Enumeration date
09/07/2005
Last updated
08/22/2020
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