Individual
DR. PAUL RUSSELL WOMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 577-5011
Mailing address
109 BEE ST, CHARLESTON, SC 29401-5703
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
4301103516
MI
208800000X
Urology Physician
6693
KS
208800000X
Urology Physician
Primary
81577
SC
Other
Enumeration date
04/02/2007
Last updated
09/19/2018
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