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EDISTO UROLOGICAL ASSOCIATES
NPI 1063692457
Urology in Orangeburg, SC

Active since November 14, 2007
1175 COOK RD STE 310, ORANGEBURG, SC 29118(803) 534-4611(803) 534-7269 Get Directions Write a Review

NPPES record last updated: November 14, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Edisto Urological Associates NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDISTO UROLOGICAL ASSOCIATES (NPI 1063692457) is a healthcare organization registered as an urology in Orangeburg, South Carolina and active in the NPI registry since November 2007. The organization lists William Walton Mims, Owner, as its authorized official.

NPPES Registry Identity

NPI1063692457
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameEDISTO UROLOGICAL ASSOCIATES
Location Address1175 COOK RD STE 310Orangeburg, SC 29118-8201
Mailing Address1175 Cook Rd Ste 310Orangeburg, SC 29118-8201 · (803) 534-4611 · Fax (803) 534-7269
Phone(803) 534-4611
Fax(803) 534-7269
Organization SubpartNo
Authorized OfficialWilliam Walton MimsOwner · (803) 534-4611
Enumeration DateNovember 14, 2007
✔ NPI 1063692457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in SC · 5227
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
1175 COOK RD STE 310, Orangeburg, SC 29118
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Other Identifiers 2

Medicare PIN1898SC
Medicare UPIND99222SC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THE REGIONAL MEDICAL CENTER OF ORANGEBURG AND CALHOUN COUNTIES
Urology
1175 COOK RD STE 310
ORANGEBURG, SC 29118
Orangeburg County (803) 395-3625

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edisto Urological Associates's NPI number?

The NPI number for Edisto Urological Associates is 1063692457. It was assigned to this organization in the NPPES registry on November 14, 2007.

Where is Edisto Urological Associates located?

Edisto Urological Associates is located at 1175 Cook Rd Ste 310, Orangeburg, SC 29118. The listed phone number is (803) 534-4611.

What is Edisto Urological Associates's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

When was this NPI record last updated?

The NPPES record for Edisto Urological Associates was last updated on November 14, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.