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

Edisto Urological Associates

Organization Urology Physician · NPI 1063692457

Edisto Urological Associates is an Urology Physician in Orangeburg, South Carolina. Licensed in South Carolina. Registered with an NPI since 2007.

Licensed in
SC
In the registry since
2007

Practice location Address checks out

1175 Cook Rd Ste 310
Orangeburg, SC 29118-8201
Phone: (803) 534-4611
Fax: (803) 534-7269
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 5227 (SC)

Record details

NPI number1063692457
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Mims — Owner · (803) 534-4611
NPI enumeratedNovember 14, 2007
Last updated in NPPESNovember 14, 2007
Mailing address1175 Cook Rd Ste 310, Orangeburg, SC 29118-8201

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