Organization
COLUMBIA UROLOGICAL ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES HENRY HERLONG M.D. (PRESIDENT)
(803) 254-4591
Entity
Organization
Contact information
Practice address
1301 TAYLOR ST, SUITE 1A, COLUMBIA, SC 29201-2942
(803) 254-4591
(803) 931-8000
Mailing address
1301 TAYLOR ST, SUITE 1A, COLUMBIA, SC 29201-2942
(803) 254-4591
(803) 931-8000
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PA1391
—
SC
Enumeration date
08/11/2006
Last updated
11/29/2007
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