FOOTHILLS UROLOGY
Medical Practice at Hillcrest Dr, Easley, SC

License number
South Carolina 7514
Category
Medical Practice
Type
Specialist
Owner
Name: MS. MARY K NICKLES MBA
Title: OFFICE MANAGER
Phone: (864) 855-6811
Address
Address
403 Hillcrest Dr SUITE A, Easley, SC 29640
National Provider ID: 1376715797
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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FOOTHILLS UROLOGY, LLC

Easley, SC

Status:
Inactive
Industry:
Medical Doctor's Office
Doing business as:
Foothills Urology
Registration:
Dec 22, 2005
Addresses:
403 Hillcrest Dr, Easley, SC 29640 (Physical)
112 John St, Easley, SC 29640
PO Box 1793, Easley, SC 29641
Business type:
Domestic
Formation place:
SOUTH CAROLINA
Expiration:
02/22/2013
Owners:
Mary K. Nickles (Office Manager),William L. Lowrance Owner, inactive

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