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General NPI Number Information
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NPI Number | 1477740835
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Entity Type | Organization
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Legal Business Name | LOWCOUNTRY UROLOGY CLINICS, PA
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Dates
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Enumeration Date | 10/01/2007
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Last Update Date | 12/22/2025
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Provider Practice Location Address
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Address Line | 1300 HOSPITAL DR STE 210
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City | MOUNT PLEASANT
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State | SC
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Zip | 29464-3208
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Country | US
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Telephone | 843-884-9646
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Fax |
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Provider Business Mailing Address
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Address Line | 2687 LAKE PARK DR LOWCOUNTRY UROLOGY CLINICS PA
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City | N CHARLESTON
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State | SC
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Zip | 29406-9100
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Country | US
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Telephone | 843-725-4414
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Fax |
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Authorized Official
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Title or Position | AO
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Name | SCOTT BARRETT SELLINGER
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Credential |
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Telephone | 850-309-0400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 480
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License Number State | SC
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