Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Blue Ridge Urology PA

Organization Urology Physician · NPI 1487751699

Blue Ridge Urology PA is an Urology Physician in Greer, South Carolina. Licensed in South Carolina. Registered with an NPI since 2006.

Licensed in
SC
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

402 Memorial Drive Ext
Greer, SC 29651
Phone: (864) 877-0779
Fax: (864) 877-7801
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X (SC)

Record details

NPI number1487751699
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Walton — Owner · (864) 877-0779
NPI enumeratedSeptember 20, 2006
Last updated in NPPESJuly 21, 2022
Mailing address402 Memorial Drive Extension, Greer, SC 29651

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