Organization
GREENWOOD UROLOGICAL P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CLAUDIA E. KING (ADMINISTRATOR)
(800) 922-4794
Entity
Organization
Contact information
Practice address
109 LINER DR, GREENWOOD, SC 29646-2311
(800) 922-4194
Mailing address
109 LINER DRIVE, GREENWOOD, SC 29646
(800) 922-4194
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP2105
—
SC
Enumeration date
05/23/2005
Last updated
01/19/2015
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