COASTAL CAROLINA UROLOGY GROUP, LLC

BEAUFORT, SC
NPI1528101664
Entity TypeOrganization
Authorized ContactTAMMY SUE HOWE
Billing Supervisor
888-482-4871
Organization Subpart ?No
Primary Taxonomy208800000X Urology
(Licence: SC  200011)
Enumeration Date2007-02-15
Last Update Date2015-03-31
Business Address
COASTAL CAROLINA UROLOGY GROUP, LLC
1055 RIBAUT RD SUITE 10
BEAUFORT, SC 29902-5423
Phone number: 843-524-7607
Mailing Address
COASTAL CAROLINA UROLOGY GROUP, LLC
PO BOX 440007
NASHVILLE, TN 37244-0007
Phone number: 888-482-4871
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