S Lee Guice III, MD, PLLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

19851 Issued in NC

Legal business name

S LEE GUICE III, MD, PLLC

Practice address

1918 Randolph Rd
Suite 210
Charlotte, NC 28207-1100

Phone

(704) 342-8155

Fax

(704) 330-8513

NPI assigned

Jul 19, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Karen J Darmer, CMM

Title

Practice Manager

Phone

(704) 342-8324

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1831118751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1918 RANDOLPH RD",
            "address_2": "SUITE 210",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282071100",
            "telephone_number": "704-342-8155",
            "fax_number": "704-330-8513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1918 RANDOLPH RD",
            "address_2": "SUITE 210",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282071100",
            "telephone_number": "704-342-8155",
            "fax_number": "704-330-8513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S LEE GUICE III, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "DARMER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "704-342-8324",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CMM"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "NC",
            "license": "19851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891256T",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Urology Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Urology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.