Organization
ANDERSON UROLOGY ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES WILLIAM HINNANT JR. MD JD (PRES OWNER)
(864) 226-6131
Entity
Organization
Contact information
Practice address
112 ESSEX DRIVE, ANDERSON, SC 29621-3319
(864) 226-6131
(864) 225-0830
Mailing address
112 ESSEX DRIVE, ANDERSON, SC 29621-3319
(864) 226-6131
(864) 225-0830
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
15856
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00593524B
—
GA
05
—
GP2184
—
SC
Enumeration date
05/02/2006
Last updated
01/03/2012
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