| NPI | 1720172489 |
|---|---|
| Doing Business As | TENNESSEE UROLOGY ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | MARY LAUTERBACH Credentialing 443-738-2889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-12-17 |