Urological Clinic Of Valdosta

LBN: Urological Clinic Of Valdosta
Urological Clinic Of Valdosta is an health care organization with primary practice located at 3000 N Patterson St , Valdosta GA 31602-1711. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Urological Clinic Of Valdosta can be contacted via phone (229) 241-1188, or through Eaton, David Eric via phone (229) 242-9003.

Contact Information

Primary practice address
3000 N Patterson St Valdosta GA 31602-1711
Phone: (229) 241-1188
Fax: (229) 245-7106
Website:
Map and Directions
Authorized official contact:
Name: Eaton, David Eric MPAS
Phone: (229) 242-9003

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X 018627 Georgia

Profile Details

NPI number 1558341057
LBN Legal business name Urological Clinic Of Valdosta
DBA Doing business as
Authorized official Eaton, David Eric MPAS
Entity Organization
Organization subpart 1 No
Enumeration date Jan 19th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558341057 NPPES
Other 1032904 NCCPA

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