Coosa Valley Urology, P.C. in Sylacauga - Specialist
Coosa Valley Urology, P.C. - NPI 1083831804
Coosa Valley Urology, P.C. is a Specialist in Sylacauga, Alabama. Coosa Valley Urology, P.C. practices all healthcare services and medical treatments related to Specialist. The NPI Number for Coosa Valley Urology, P.C. is 1083831804. The last update date is 2013-10-04.
Coosa Valley Urology, P.C.'s current location address is 16 South Douglas Avenue, Sylacauga, Alabama. You can contact this provider via phone number 2562452269 and fax number 2562452260. The mailing address for Coosa Valley Urology, P.C. is 16 South Douglas Avenue, Sylacauga, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Coosa Valley Urology, P.C. |
|---|---|
| Address | 16 South Douglas Avenue, Sylacauga, Alabama |
| Phone Number | 2562452269 |
| Fax Number | 2562452260 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Pacha R Mamoun |
| Credentials | M.D. |
| Telephone Number | 2562452269 |
NPI Number Detail
| NPI Number | 1083831804 |
|---|---|
| Provider Enumeration Date | 2007-04-20 |
| Last Updated Date | 2013-10-04 |
Provider Mailing Address Detail
| Address | 16 South Douglas Avenue |
|---|---|
| City | Sylacauga |
| State | Alabama (AL) |
| Post Code | 35150 |
| Phone Number | 2562452269 |
| Fax Number | 2562452260 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 8767 |
|
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 529603840 | AL | -- | |
| 340007817 | AL | RAILROAD MEDICARE | |
| 1910002 | AL | UNITED HEALTH CARE |
Post Comment/ Review Below
What is the Coosa Valley Urology, P.C.'s unique identification number?
The Coosa Valley Urology, P.C. has been assigned the NPI (National Provider Identifier) Number 1083831804 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Coosa Valley Urology, P.C.'s facilities are situated?
The facilities of Coosa Valley Urology, P.C. are physically located at the following address: 16 South Douglas Avenue, Sylacauga, AL, 35150.
What is Coosa Valley Urology, P.C.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The Coosa Valley Urology, P.C.'s area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1083831804 to Coosa Valley Urology, P.C.?
The Coosa Valley Urology, P.C. received its 1083831804 assignment from the Centers for Medicare & Medicaid Services on 2007-04-20.
When was the information regarding Coosa Valley Urology, P.C. most recently updated?
The details pertaining to the Coosa Valley Urology, P.C., including its address, specialty, and other relevant information, were last refreshed on 2013-10-04.