Organization
SOUTHERN UROGYNECOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREA M PEZZELLA M.D. (OWNER)
(803) 732-0738
Entity
Organization
Contact information
Practice address
115 MIDLANDS CT, WEST COLUMBIA, SC 29169-3456
(803) 732-0738
Mailing address
115 MIDLANDS CT, WEST COLUMBIA, SC 29169-3456
(803) 732-0738
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
29701
SC
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H19207
UPIN
SC
Enumeration date
06/19/2010
Last updated
02/06/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us