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

Southern Urogynecology LLC

Organization Obstetrics & Gynecology Physician · NPI 1952622326

Southern Urogynecology LLC is an Obstetrics & Gynecology Physician in West Columbia, South Carolina. Licensed in South Carolina. Registered with an NPI since 2010.

Licensed in
SC
In the registry since
2010
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

115 Midlands Ct
West Columbia, SC 29169-3456
Phone: (803) 732-0738
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 29701 (SC)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1952622326
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrea Pezzella — Owner · (803) 732-0738
NPI enumeratedJune 19, 2010
Last updated in NPPESFebruary 6, 2026
Certification dateFebruary 6, 2026
Mailing address115 Midlands Ct, West Columbia, SC 29169-3456

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