East Georgia Urologic Clinic, Pc in Statesboro - Urology
East Georgia Urologic Clinic, Pc - NPI 1801078381
East Georgia Urologic Clinic, Pc is a Urology in Statesboro, Georgia. East Georgia Urologic Clinic, Pc practices all healthcare services and medical treatments related to Urology. The NPI Number for East Georgia Urologic Clinic, Pc is 1801078381. The last update date is 2008-01-03.
East Georgia Urologic Clinic, Pc's current location address is 614 East Grady Street, Statesboro, Georgia. You can contact this provider via phone number 9127649001 and fax number 9127643166. The mailing address for East Georgia Urologic Clinic, Pc is 614 East Grady Street, Statesboro, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | East Georgia Urologic Clinic, Pc |
|---|---|
| Address | 614 East Grady Street, Statesboro, Georgia |
| Phone Number | 9127649001 |
| Fax Number | 9127643166 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Thaller R Timothy |
| Credentials | M.D. |
| Telephone Number | 9127649001 |
NPI Number Detail
| NPI Number | 1801078381 |
|---|---|
| Provider Enumeration Date | 2007-11-27 |
| Last Updated Date | 2008-01-03 |
Provider Mailing Address Detail
| Address | 614 East Grady Street |
|---|---|
| City | Statesboro |
| State | Georgia (GA) |
| Post Code | 30458 |
| Phone Number | 9127649001 |
| Fax Number | 9127643166 |
Provider's Primary Taxonomy Detail
| Speciality | Urology |
|---|---|
| Taxonomy | 208800000X |
| Licence No | 46818 |
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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 acquir |
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What is the unique provider identifier assigned to East Georgia Urologic Clinic, Pc?
The East Georgia Urologic Clinic, Pc has been issued the NPI (National Provider Identifier) 1801078381 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where East Georgia Urologic Clinic, Pc is located?
The East Georgia Urologic Clinic, Pc is situated at the following address: 614 East Grady Street, Statesboro, GA, 30458.
What is East Georgia Urologic Clinic, Pc's area of expertise and its corresponding taxonomy classification?
The East Georgia Urologic Clinic, Pc's field of specialization is Urology, and it falls under the taxonomy code 208800000X, which categorizes healthcare providers based on their areas of practice.
When did East Georgia Urologic Clinic, Pc receive its 1801078381 assignment?
The East Georgia Urologic Clinic, Pc was assigned its 1801078381 on 2007-11-27, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to East Georgia Urologic Clinic, Pc most recently updated or revised?
The information pertaining to East Georgia Urologic Clinic, Pc, including its address, specialty, and other relevant details, was last updated or revised on 2008-01-03.