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1124161682
COASTAL CAROLINA UROLOGY GROUP LLC
HARDEEVILLE, SC
NPI
1124161682
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Entity Type
Organization
Authorized Contact
TAMMY SUE HOWE
Billing Supervisor
888-482-4871
Organization Subpart ?
No
Primary Taxonomy
208800000X Urology
(Licence: SC 10062233)
Enumeration Date
2007-02-15
Last Update Date
2020-08-22
Business Address
COASTAL CAROLINA UROLOGY GROUP LLC
1010 MEDICAL CENTER DR SUITE 100
HARDEEVILLE, SC 29927-3447
Phone number: 843-342-7607
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Mailing Address
COASTAL CAROLINA UROLOGY GROUP LLC
PO BOX 440007
NASHVILLE, TN 37244-0007
Phone number: 888-482-4871
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