STATESBORO UROLOGIC CLINIC, PC

STATESBORO, GA
NPI1285662866
Entity TypeOrganization
Authorized ContactPAUL J TILSON
President
912-764-6808
Organization Subpart ?No
Primary Taxonomy208800000X Urology
(Licence: GA  020839)
Additional Taxonomies208800000X Urology
(Licence: GA  046818)
Enumeration Date2006-06-30
Last Update Date2020-08-22
Business Address
STATESBORO UROLOGIC CLINIC, PC
412 NORTHSIDE DR E SUITE 500
STATESBORO, GA 30458-4802
Phone number: 912-764-6808
Mailing Address
STATESBORO UROLOGIC CLINIC, PC
412 NORTHSIDE DR E SUITE 500
STATESBORO, GA 30458-4802
Phone number: 912-764-6808
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