| NPI | 1023678000 |
|---|---|
| Doing Business As | THE UROLOGY CLINIC |
| Entity Type | Organization |
| Authorized Contact | PAIGE C WHITE Md/Sole Member 228-254-1103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2019-06-20 |