Blue Ridge Urology Pa

LBN: Blue Ridge Urology Pa
Blue Ridge Urology Pa is an health care organization with primary practice located at 402 Memorial Drive Extension , Greer SC 29651. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as the primary health care specialty. Blue Ridge Urology Pa can be contacted via phone (864) 877-0779, or through Walton, John E via phone (864) 877-0779.

Contact Information

Primary practice address
402 Memorial Drive Extension Greer SC 29651
Phone: (864) 877-0779
Fax: (864) 877-7801
Website:
Map and Directions
Authorized official contact:
Name: Walton, John E Doctor of Medicine (MD)
Phone: (864) 877-0779

Health care specialties

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

Profile Details

NPI number 1487751699
LBN Legal business name Blue Ridge Urology Pa
DBA Doing business as
Authorized official Walton, John E Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Jul 21st, 2022 - about 4 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 1487751699 NPPES
South Carolina MEDICAID GP3677
South Carolina Other 89014MU

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