Organization
CAROLINA UROLOGY PRACTICE
Active
Parent organization
CAROLINA UROLOGY PRACTICE
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAROLINA UROLOGY PRACTICE
Authorized official
DR. SCOTT M SWEAZY M.D. (OWNER)
(803) 796-8515
Entity
Organization
Contact information
Practice address
111 HOSPITAL DR W, WEST COLUMBIA, SC 29169-3405
(803) 796-8515
(803) 796-8516
Mailing address
111 HOSPITAL DR W, WEST COLUMBIA, SC 29169-3405
(803) 796-8515
(803) 796-8516
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP2142
—
SC
Enumeration date
02/21/2007
Last updated
05/20/2009
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