COASTAL CAROLINA UROLOGY GROUP, LLC
Urology at Ribaut Rd, Beaufort, SC

License number
South Carolina 200011
Category
Radiology
Type
Urology
Owner
Name: TAMMY SUE HOWE
Title: BILLING SUPERVISOR
Phone: (888) 482-4871
Address
Address 2
1055 Ribaut Rd SUITE 10, Beaufort, SC 29902
PO Box 440007, Nashville, TN 37244
National Provider ID: 1528101664
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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COASTAL CAROLINA UROLOGY GROUP, LLC

Beaufort, SC

Industry:
Medical Doctor's Office, Surgeons, Urologist
Doing business as:
Coastal Carolina Urology Group
Registration:
Oct 21, 1999
Phone:
(843) 524-7607 (Phone)
Addresses:
1055 Ribaut Rd, Beaufort, SC 29902 (Physical)
989 Ribaut Rd, Beaufort, SC 29902
Business type:
Domestic
Formation place:
SOUTH CAROLINA
Expiration:
10/21/2029
Principals:
Angie Ferguson (Manager),Louis F. Plzak (Urology, Medical Doctor),Vickie Crocker (Licensed Practical Nurse),...

Urology licenses in South Carolina


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