Advanced Urology Of The Pee Dee

LBN: Advanced Urology Of The Pee Dee
Advanced Urology Of The Pee Dee is an health care organization with primary practice located at 309 W Pine St , Florence SC 29501-4726. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as the primary health care specialty. Advanced Urology Of The Pee Dee can be contacted via phone (843) 618-8609, or through Evans, Brian R. via phone (843) 618-8609.

Contact Information

Primary practice address
309 W Pine St Florence SC 29501-4726
Phone: (843) 618-8609
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Evans, Brian R. Doctor of Medicine (MD)
Phone: (843) 618-8609

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X South Carolina

Profile Details

NPI number 1811364144
LBN Legal business name Advanced Urology Of The Pee Dee
DBA Doing business as
Authorized official Evans, Brian R. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 21st, 2015
Last updated Feb 23rd, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811364144 NPPES
South Carolina Other DW2056 RAILROAD MEDICARE
South Carolina MEDICAID GP6980 RAILROAD MEDICARE

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