| NPI | 1164537635 |
|---|---|
| Former Legal Business Name | SUMTER UROLOGICAL ASSOCIATES, PA |
| Entity Type | Organization |
| Authorized Contact | ROBERT LEE Presedent 803-469-4402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2008-03-10 |