Carolina Urology Center, Pa

LBN: Carolina Urology Center, Pa
Carolina Urology Center, Pa is an health care organization with primary practice located at 580 Kingsley Park Dr Suite 150, Fort Mill SC 29715-6403. 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) 578-7600, or through Black, Tracy via phone (803) 327-1116.

Contact Information

Primary practice address
580 Kingsley Park Dr Suite 150 Fort Mill SC 29715-6403
Phone: (803) 578-7600
Fax: (803) 431-2257
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 1952561623
LBN Legal business name Carolina Urology Center, Pa
DBA Doing business as
Authorized official Black, Tracy
Entity Organization
Organization subpart 1 No
Enumeration date Jun 16th, 2008
Last updated Dec 2nd, 2008 - about 18 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 1952561623 NPPES
South Carolina MEDICAID PA4307

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