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Organization

AUC UROLOGISTS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TIMOTHY J QUILLEN MD (PHYSICIAN)
(914) 815-1382
Entity
Organization

Contact information

Practice address
135 PROFESSIONAL PARK DR, CONWAY, SC 29526-9261
(843) 347-2450
Mailing address
823 82ND PKWY, MYRTLE BEACH, SC 29572-4607
(843) 347-8600
(843) 347-8703

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
2085R0203X
Therapeutic Radiology Physician
208800000X
Urology Physician
Primary

Other

Enumeration date
01/08/2024
Last updated
04/30/2026
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