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Timothy R Thaller, MD
Urology Physician in Statesboro, Georgia
NPI 1407849706

Timothy R Thaller is a Urology Physician based in Statesboro, GA. Timothy R Thaller practices in Statesboro, GA and has the professional credentials of MD. The NPI Number for Timothy R Thaller is 1407849706 and holds a License No. 046818 (Georgia).

The current practice location address for Timothy R Thaller is 614 E Grady St, Statesboro, GA and can be reached out via phone at 912-764-9001 and via fax at 912-764-3166.

Location: 614 E Grady St, Statesboro, GA, 30458-2067
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407849706
Provider Name
Timothy R Thaller
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
614 E Grady St, Statesboro, GA, 30458-2067
Phone Number
912-764-9001
Fax Number
912-764-3166
Provider Enumeration Date
08/23/2005
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000829507B 05 GA
340016471 01 GA RR MEDICARE
782637 01 GA BCBS
institution
Provider Business Practice Location Address Details
Address
614 E Grady St
City
Statesboro
State
Georgia
Zip
30458-2067
Phone Number
912-764-9001
Fax Number
912-764-3166
person
Provider Business Mailing Address Details
Address
614 E Grady St
City
Statesboro
State
Georgia
Zip
30458-2067
Phone Number
912-764-9001
Fax Number
912-764-3166
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
046818 (Georgia)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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