Urological Clinic Of Valdosta Pc

NPI 1649491606 - Specialist - 174400000X

NPI Details
NPI 1649491606
Enumeration Date 05/01/2007
Last Updated 09/28/2012
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MIKE SYRU MIKE
Position DOCTOR
Phone (229) 241-1188
Fax (229) 245-7106
Practice Location
3294 NORTH OAK ST. EXT.
VALDOSTA GA, 31605, US
Phone (229) 241-1188
Fax (229) 245-7106
Business Location
3294 NORTH OAK ST. EXT.
VALDOSTA GA, 31605, US
Phone (229) 241-1188
Fax (229) 245-7106
Toxanomy
Taxonomy Code 174400000X
License State Georgia
License Number 18627
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According to our database, Urological Clinic Of Valdosta Pc NPI is 1649491606, taxonomy code is 174400000X and license number is 18627, license state is located at Georgia. Urological Clinic Of Valdosta Pc physically located at 3294 North Oak St. Ext., Valdosta GA, 31605. NPI Number 1033115704 has the healthcare provider type.

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1649491606 NPI number is provided on an as is basis without warranty of any kind. 1649491606 is maintained by the National Plan & Provider Enumeration System. The contents of Urological Clinic Of Valdosta Pc are for informational purposes only.