Provider Demographics
NPI:1154199909
Name:LOWCOUNTRY UROLOGY CLINICS, PA
Entity type:Organization
Organization Name:LOWCOUNTRY UROLOGY CLINICS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:BARRETT
Authorized Official - Last Name:SELLINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-309-0400
Mailing Address - Street 1:295A MIDLAND PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29485-5901
Mailing Address - Country:US
Mailing Address - Phone:843-871-5220
Mailing Address - Fax:
Practice Address - Street 1:295A MIDLAND PKWY STE 100
Practice Address - Street 2:
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29485-5901
Practice Address - Country:US
Practice Address - Phone:843-871-5220
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LOWCOUNTRY UROLOGY CLINICS, PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-12-12
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies