National Provider Identifier Database

UROLOGICAL CLINIC OF VALDOSTA
Medical Specialty

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).


Contact Information

UROLOGICAL CLINIC OF VALDOSTA
3000 N PATTERSON ST
VALDOSTA, GA31602-1711
Phone: 229-241-1188
Fax: 229-245-7106
Website:
Specialty Taxonomy Code
* Medical Specialty 261QM2500X

* Indicates primary specialty

NPI Profile & details for UROLOGICAL CLINIC OF VALDOSTA

NPI Number 1558341057
Legal business name
LBN
UROLOGICAL CLINIC OF VALDOSTA
Authorized official DAVID EATON - (PHYSICIAN ASSISTANT)
Entity Organization
Organization subpart No
Enumeration date 01/19/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: 018627
  • Other: 1032904 NCCPA

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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