EAST GEORGIA UROLOGIC CLINIC, PC

STATESBORO, GA
NPI1801078381
Entity TypeOrganization
Authorized ContactTIMOTHY R THALLER
President
912-764-9001
Organization Subpart ?No
Primary Taxonomy208800000X Urology
(Licence: GA  046818)
Enumeration Date2007-11-27
Last Update Date2008-01-03
Business Address
EAST GEORGIA UROLOGIC CLINIC, PC
614 E GRADY ST
STATESBORO, GA 30458-2067
Phone number: 912-764-9001
Mailing Address
EAST GEORGIA UROLOGIC CLINIC, PC
614 EAST GRADY STREET
STATESBORO, GA 30458
Phone number: 912-764-9001
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