Organization
KERSHAW UROLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUGUSTINE MIREKU-BOATENG (CEO AND PRESIDENT)
(202) 498-0909
Entity
Organization
Contact information
Practice address
1327 HAILE ST, CAMDEN, SC 29020-3001
(202) 498-0909
Mailing address
1327 HAILE ST, CAMDEN, SC 29020-3001
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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