Organization
UROLOGY CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIJAY PAUL PINTO M.D. (PRESIDENT)
(803) 464-5161
Entity
Organization
Contact information
Practice address
1285 WILSON HALL RD, SUMTER, SC 29150
(803) 905-3555
(803) 905-3570
Mailing address
1285 WILSON HALL RD, SUMTER, SC 29150-1804
(803) 905-3555
(803) 905-3570
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
27784
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1912368457
BCBS OF SC
SC
05
—
GP7304
—
SC
Enumeration date
03/11/2016
Last updated
01/15/2019
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