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UNIVERSITY MEDICAL ASSOCIATES

Physicians Surgery Pediatric Surgery

Provider NPI: 1053564963

Organization Information:
Organization Name:  UNIVERSITY MEDICAL ASSOCIATES
Organization is not Subpart
Authorized Official:  KARYN  RAE  DIRECTOR  843-876-1344

Practice Location:
171 ASHLEY AVE  CHARLESTON, SC 29425-8908 US
Tel: 843-792-1414  Fax: --

Business Mailing Address:
PO BOX 751461  CHARLOTTE, NC 28275-1461 US
Tel: 843-792-6200  Fax: --

NPI Information:
NPI: 1053564963
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2086S0120XPhysicians
Surgery
Pediatric Surgery

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 2086S0120X

Type:

Classification:



Definition:



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