| NPI | 1639370034 |
|---|---|
| Doing Business As | UROLOGY CENTER OF CHARLESTON |
| Entity Type | Organization |
| Authorized Contact | JEFF H. GOODE Administrative Coordinator 304-388-7783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2020-08-22 |