| NPI | 1689143786 |
|---|---|
| Doing Business As | MEDICAL GROUP OF THE CAROLINAS-UROLOGY -SKYLYN |
| Entity Type | Organization |
| Authorized Contact | KENNETH J MEINKE Chief Financial Officer 864-560-6103 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208800000X Urology |
| Enumeration Date | 2018-11-19 |
| Last Update Date | 2019-03-13 |