Organization
GREENVILLE UROLOGY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAT CLINTON (ADMINISTRATOR)
(864) 605-8541
Entity
Organization
Contact information
Practice address
52 BEAR DR, GREENVILLE, SC 29605-4458
(864) 295-2131
(864) 605-8556
Mailing address
52 BEAR DR, GREENVILLE, SC 29605-4458
(864) 295-2131
(864) 605-8556
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP2427
—
SC
Enumeration date
06/24/2006
Last updated
08/22/2020
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