| NPI | 1114138104 |
|---|---|
| Former Legal Business Name | UROLOGY SPECIALISTS OF DECATUR |
| Entity Type | Organization |
| Authorized Contact | SERGEY ANANYEV Md 256-353-0605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: AL 20057) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2018-07-10 |