| NPI Details | |
|---|---|
| NPI | 1558341057 |
| Enumeration Date | 01/19/2006 |
| Last Updated | 07/08/2007 |
| Entity Type | Healthcare Provider |
| Active | Over 12 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 |
| Remove 1558341057 NPI Number | |
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.
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