Organization
LOWCOUNTRY UROLOGY CLINICS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY KIRSH (PARTNER)
(615) 850-6120
Entity
Organization
Contact information
Practice address
2687 LAKE PARK DR, N CHARLESTON, SC 29406-9100
(843) 572-0097
(843) 725-3118
Mailing address
2687 LAKE PARK DR, N CHARLESTON, SC 29406-9100
(843) 572-0097
(843) 725-3118
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4437
—
SC
Enumeration date
06/13/2006
Last updated
03/21/2023
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