Urological Clinic Of Valdosta Pc
LBN: Urological Clinic Of Valdosta Pc
Urological Clinic Of Valdosta Pc is an health care organization with primary practice located at 3294 North Oak St. Ext. , Valdosta GA 31605. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty.
Urological Clinic Of Valdosta Pc can be contacted via phone (229) 241-1188, or through Chiang, Mike Syru via phone (229) 241-1188.
Contact Information
Primary practice address
3294 North Oak St. Ext.
Valdosta GA 31605
Phone: (229) 241-1188
Fax: (229) 245-7106
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 018627 | Georgia |
| Other Service Providers / Specialist | 174400000X | 18627 | Georgia |
Profile Details
| NPI number | 1649491606 |
|---|---|
| LBN Legal business name | Urological Clinic Of Valdosta Pc |
| DBA Doing business as | |
| Authorized official | Chiang, Mike Syru Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 1st, 2007 |
| Last updated | Jul 5th, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649491606 | NPPES |
| Other | 340005901 | MEDICARE RAILROAD | |
| MEDICAID | 000244791B | MEDICARE RAILROAD |
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