VALDOSTA UROLOGICAL ASSOCIATES NPI 1144404484

NPI Information

NPI: 1144404484
Provider Name: VALDOSTA UROLOGICAL ASSOCIATES
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
3543 NORTH CROSSING CIRCLE
VALDOSTA, GA
ZIP 31602
Phone: (229) 244-1736
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VALDOSTA UROLOGICAL ASSOCIATES is a specialist in Valdosta, GA. The provider is 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. VALDOSTA UROLOGICAL ASSOCIATES NPI is 1144404484. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3543 NORTH CROSSING CIRCLE
VALDOSTA, GA
ZIP 31602
Phone: (229) 244-1736
Fax: (229) 242-5666

The provider's authorized official is Joseph David Sule .
The authorized official title is Ceo and has the following contact phone number (229) 244-1736.

The enumeration date for this NPI number is 12/21/2007 and was last updated on 12/21/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		042458	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	F84951	MEDICARE UPIN	GEORGIA
2	00718891A	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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