Urological Clinic Of Valdosta Ambulatory Surgical Center, Llc

NPI 1528404803 - Clinic/Center - 261QA1903X

NPI Details
NPI 1528404803
Enumeration Date 05/14/2013
Last Updated 05/14/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name MIKE S MIKE
Position OWNER
Phone (229) 241-1188
Fax (229) 245-7106
Practice Location
3294 N OAK STREET EXT
VALDOSTA GA, 31605-6473, US
Phone (229) 241-1188
Fax (229) 245-7106
Business Location
3294 N OAK STREET EXT
VALDOSTA GA, 31605-6473, US
Phone (229) 241-1188
Fax (229) 245-7106
Toxanomy
Taxonomy Code 261QA1903X
License State
License Number
Remove 1528404803 NPI Number
 

According to our database, Urological Clinic Of Valdosta Ambulatory Surgical Center, Llc NPI is 1528404803, taxonomy code is 261QA1903X Urological Clinic Of Valdosta Ambulatory Surgical Center, Llc physically located at 3294 N Oak Street Ext, Valdosta GA, 31605-6473. NPI Number 1033115704 has the healthcare provider type.

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1528404803 NPI number is provided on an as is basis without warranty of any kind. 1528404803 is maintained by the National Plan & Provider Enumeration System. The contents of Urological Clinic Of Valdosta Ambulatory Surgical Center, Llc are for informational purposes only.