Urological Clinic Of Valdosta

NPI 1558341057 - Clinic/Center - 261QM2500X

NPI Details
NPI 1558341057
Enumeration Date 01/19/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name DAVID ERIC DAVID
Position PHYSICIAN ASSISTANT
Phone (229) 241-1188
Fax (229) 245-7106
Practice Location
3000 N PATTERSON ST
VALDOSTA GA, 31602-1711, US
Phone (229) 241-1188
Fax (229) 245-7106
Business Location
7494 EULIE WOOD DR
VALDOSTA GA, 31601-1144, US
Phone (229) 247-9124
Fax
Toxanomy
Taxonomy Code 261QM2500X
License State Georgia
License Number 018627
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According to our database, Urological Clinic Of Valdosta NPI is 1558341057, taxonomy code is 261QM2500X and license number is 018627, license state is located at Georgia. Urological Clinic Of Valdosta physically located at 3000 N Patterson St, Valdosta GA, 31602-1711. NPI Number 1033115704 has the healthcare provider type.

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1558341057 NPI number is provided on an as is basis without warranty of any kind. 1558341057 is maintained by the National Plan & Provider Enumeration System. The contents of Urological Clinic Of Valdosta are for informational purposes only.