Statesboro Urologic Clinic, Pc in Statesboro - Urology
Statesboro Urologic Clinic, Pc - NPI 1285662866
Statesboro Urologic Clinic, Pc is a Urology in Statesboro, Georgia. Statesboro Urologic Clinic, Pc practices all healthcare services and medical treatments related to Urology. The NPI Number for Statesboro Urologic Clinic, Pc is 1285662866. The last update date is 2020-08-22.
Statesboro Urologic Clinic, Pc's current location address is 412 Northside Dr E, Statesboro, Georgia. You can contact this provider via phone number 9127646808 and fax number 9127642436. The mailing address for Statesboro Urologic Clinic, Pc is 412 Northside Dr E, Statesboro, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Statesboro Urologic Clinic, Pc |
|---|---|
| Address | 412 Northside Dr E, Statesboro, Georgia |
| Phone Number | 9127646808 |
| Fax Number | 9127642436 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Tilson J Paul |
| Credentials | MD |
| Telephone Number | 9127646808 |
NPI Number Detail
| NPI Number | 1285662866 |
|---|---|
| Provider Enumeration Date | 2006-06-30 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 412 Northside Dr E |
|---|---|
| City | Statesboro |
| State | Georgia (GA) |
| Post Code | 304584802 |
| Phone Number | 9127646808 |
| Fax Number | 9127642436 |
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 identifier code issued to Statesboro Urologic Clinic, Pc by the Centers for Medicare & Medicaid Services?
The Statesboro Urologic Clinic, Pc has been assigned the NPI (National Provider Identifier) 1285662866. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Statesboro Urologic Clinic, Pc's physical address?
The Statesboro Urologic Clinic, Pc is physically located at 412 Northside Dr E, in the city of Statesboro, GA, with the postal code 304584802.
What is Statesboro Urologic Clinic, Pc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Statesboro Urologic Clinic, Pc's specialized field of practice is Urology, and the corresponding taxonomy code that categorizes this area of specialization is 208800000X.
When was the Statesboro Urologic Clinic, Pc's 1285662866 issued?
The Statesboro Urologic Clinic, Pc's 1285662866 was issued on 2006-06-30.
When was the information related to Statesboro Urologic Clinic, Pc most recently updated or refreshed?
The details pertaining to the Statesboro Urologic Clinic, Pc, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY