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Contact Information

COOSA VALLEY UROLOGY, P.C.
16 SOUTH DOUGLAS AVENUE
SYLACAUGA, AL35150
 Phone: 256-245-2269
 Fax: 256-245-2260
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for COOSA VALLEY UROLOGY PC · (Female)

NPI # 1083831804
Status Active
Credentials
Entity Individual
Enumeration date 04/20/2007
Last updated 10/04/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • AL License # 8767
  • AL Medicaid 529603840
  • AL Other 340007817 RAILROAD MEDICARE
  • AL Other 1910002 UNITED HEALTH CARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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