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Organization

CAROLINA FAMILY UROLOGY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID W BRANDLI MD (OWNER)
(843) 871-5220
Entity
Organization

Contact information

Practice address
109 BURTON AVE STE F, SUMMERVILLE, SC 29485-8117
(843) 871-5220
(843) 871-5547
Mailing address
109 BURTON AVE STE F, SUMMERVILLE, SC 29485-8117
(843) 871-5220
(843) 871-5547

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
23790
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1356330260
NPI
SC
05
APPLYING
SC
05
T80310
SC
Enumeration date
03/10/2010
Last updated
03/10/2010
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