Carolina Urology Center, Pa

LBN: Carolina Urology Center, Pa
Carolina Urology Center, Pa is an health care organization with primary practice located at 1780 Medical Park Dr , Rock Hill SC 29732-1194. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as the primary health care specialty. Carolina Urology Center, Pa can be contacted via phone (803) 327-1116, or through Black, Tracy via phone (803) 327-1116.

Contact Information

Primary practice address
1780 Medical Park Dr Rock Hill SC 29732-1194
Phone: (803) 327-1116
Fax: (803) 327-6872
Website:
Map and Directions
Authorized official contact:
Name: Black, Tracy
Phone: (803) 327-1116

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X

Profile Details

NPI number 1366467250
LBN Legal business name Carolina Urology Center, Pa
DBA Doing business as
Authorized official Black, Tracy
Entity Organization
Organization subpart 1 No
Enumeration date Jul 13th, 2006
Last updated Oct 9th, 2007 - about 19 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 1366467250 NPPES
North Carolina Other 02555 BCBS
North Carolina MEDICAID PA4307 BCBS

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