Urological Clinic Of Valdosta Pc in Valdosta - Specialist

Urological Clinic Of Valdosta Pc - NPI 1649491606

Urological Clinic Of Valdosta Pc is a Specialist in Valdosta, Georgia. Urological Clinic Of Valdosta Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Urological Clinic Of Valdosta Pc is 1649491606. The last update date is 2017-07-05.

Urological Clinic Of Valdosta Pc's current location address is 3294 North Oak St. Ext., Valdosta, Georgia. You can contact this provider via phone number 2292411188 and fax number 2292457106. The mailing address for Urological Clinic Of Valdosta Pc is 3294 North Oak St. Ext., Valdosta, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Organization Urological Clinic Of Valdosta Pc
Address 3294 North Oak St. Ext., Valdosta, Georgia
Phone Number 2292411188
Fax Number 2292457106
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DOCTOR
Authorized Official Name Chiang Syru Mike
Credentials MD.
Telephone Number 2292411188

NPI Number Detail

NPI Number 1649491606
Provider Enumeration Date 2007-05-01
Last Updated Date 2017-07-05

Provider Mailing Address Detail

Address 3294 North Oak St. Ext.
City Valdosta
State Georgia (GA)
Post Code 31605
Phone Number 2292411188
Fax Number 2292457106

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 18627
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
340005901 MEDICARE RAILROAD
000244791B GA --

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FAQs about Urological Clinic Of Valdosta Pc

What is the unique identifier code issued to Urological Clinic Of Valdosta Pc by the Centers for Medicare & Medicaid Services (CMS)?

The Urological Clinic Of Valdosta Pc has been assigned the NPI (National Provider Identifier) 1649491606. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where Urological Clinic Of Valdosta Pc's facilities are geographically located?

The facilities of Urological Clinic Of Valdosta Pc are physically situated at the following location: 3294 North Oak St. Ext., Valdosta, GA, 31605.

What is Urological Clinic Of Valdosta Pc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Urological Clinic Of Valdosta Pc is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.

When did Urological Clinic Of Valdosta Pc receive its 1649491606 assignment?

The Urological Clinic Of Valdosta Pc was assigned its 1649491606 on 2007-05-01, which is the date when this unique identifier was issued to the organization.

When was the Urological Clinic Of Valdosta Pc's information last updated?

The Urological Clinic Of Valdosta Pc's information was last updated on 2017-07-05.

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