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Organization

ADULT & PEDIATRIC UROLOGY CENTER OF THE CAROLINAS PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GLENN ROSS GANGI MD (CEO)
(843) 423-4777
Entity
Organization

Contact information

Practice address
2835 E HWY 76, SUITE 3, MULLINS, SC 29574
(843) 423-4777
(843) 423-0802
Mailing address
2835 E HWY 76, SUITE 3, MULLINS, SC 29574
(843) 423-4777
(843) 423-0802

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary

Other

Enumeration date
05/11/2006
Last updated
08/22/2020
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