Organization
KERSHAW UROLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AUGUSTINE O MIREKU-BOATENG M.D. (OWNER/MD)
(803) 272-0501
Entity
Organization
Contact information
Practice address
1327 HAILE ST, CAMDEN, SC 29020-3001
(803) 272-0501
Mailing address
1327 HAILE ST, CAMDEN, SC 29020-3001
(803) 272-0501
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD12881
DC
Other
Enumeration date
01/14/2009
Last updated
01/14/2009
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