Organization · Type 2 NPI
Southern Urological Associates
Specialist · Valdosta, GA
NPI number
1861676892
Active
Practice location
2805 N Oak St, Suite B
Valdosta, GA 31602-5922
Fax (229) 259-9547
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 058647 (GA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Another provider at this address
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About NPI 1861676892
Southern Urological Associates's National Provider Identifier is 1861676892, issued on Dec 27, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Valdosta, GA. The record was last updated on Dec 27, 2007.