PREMIER UROGYNECOLOGY OF TALLAHASSEE

TALLAHASSEE, FL
NPI1992468482
Entity TypeOrganization
Authorized ContactSANDRA JORDAN
Provider Enrollment COO Rdinator
229-891-9131
Organization Subpart ?No
Primary Taxonomy207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery
Enumeration Date2021-10-21
Last Update Date2021-10-21
Business Address
PREMIER UROGYNECOLOGY OF TALLAHASSEE
1963 VILLAGE GREEN WAY
TALLAHASSEE, FL 32308-3833
Phone number: 229-502-9788
Mailing Address
PREMIER UROGYNECOLOGY OF TALLAHASSEE
PO BOX 2876
MOULTRIE, GA 31776-2876
Phone number: 229-891-9131