| NPI | 1932936192 |
|---|---|
| Doing Business As | ADVANCED UROLOGY |
| Entity Type | Organization |
| Authorized Contact | MADISON WREN Credentialing Specialist 843-847-1343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Enumeration Date | 2024-09-19 |
| Last Update Date | 2024-09-19 |