institution
Urology Clinic Of South Alabama, Llc
Specialist in Andalusia, Alabama
NPI 1013100627

Urology Clinic Of South Alabama, Llc is a Specialist based in Andalusia, AL. Urology Clinic Of South Alabama, Llc practices in Andalusia, AL. The NPI Number for Urology Clinic Of South Alabama, Llc is 1013100627 and holds a License No. AL00025839 (Alabama).

The current practice location address for Urology Clinic Of South Alabama, Llc is 215 Medical Park Dr, Andalusia, AL and can be reached out via phone at 334-427-7218 and via fax at 334-427-4999.

Location: 215 Medical Park Dr, Andalusia, AL, 36420-5311
institution
Provider Profile Details
NPI Number
1013100627
Provider Name
Urology Clinic Of South Alabama, Llc
Credential
Provider Entity Type
Organization
Address
215 Medical Park Dr, Andalusia, AL, 36420-5311
Phone Number
334-427-7218
Fax Number
334-427-4999
Provider Enumeration Date
08/27/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DG3879 01 RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
215 Medical Park Dr
City
State
Zip
36420-5311
Phone Number
334-427-7218
Fax Number
334-427-4999
person
Provider Business Mailing Address Details
Address
215 Medical Park Dr
City
State
Zip
36420-5311
Phone Number
334-427-7218
Fax Number
334-427-4999
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
AL00025839 (Alabama)
Definition
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.
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