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Urological Clinic Of Valdosta Pc
Specialist in Valdosta, Georgia
NPI 1649491606

Urological Clinic Of Valdosta Pc is a Specialist based in Valdosta, GA. Urological Clinic Of Valdosta Pc practices in Valdosta, GA. The NPI Number for Urological Clinic Of Valdosta Pc is 1649491606 and holds a License No. 018627 (Georgia).

The current practice location address for Urological Clinic Of Valdosta Pc is 3294 North Oak St. Ext., Valdosta, GA and can be reached out via phone at 229-241-1188 and via fax at 229-245-7106.

Location: 3294 North Oak St. Ext., Valdosta, GA, 31605
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1649491606
Provider Name
Urological Clinic Of Valdosta Pc
Credential
Provider Entity Type
Organization
Address
3294 North Oak St. Ext., Valdosta, GA, 31605
Phone Number
229-241-1188
Fax Number
229-245-7106
Provider Enumeration Date
05/01/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
340005901 01 MEDICARE RAILROAD
000244791B 05 GA
institution
Provider Business Practice Location Address Details
Address
3294 North Oak St. Ext.
City
Valdosta
State
Georgia
Zip
31605
Phone Number
229-241-1188
Fax Number
229-245-7106
person
Provider Business Mailing Address Details
Address
3294 North Oak St. Ext.
City
Valdosta
State
Georgia
Zip
31605
Phone Number
229-241-1188
Fax Number
229-245-7106
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
018627 (Georgia)
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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