Urosurg, LLC
Clinic/Center, Ambulatory Surgical in Tifton, GA. Organization (NPI-2).
NPI number1407106933
StatusActive
Last updated in NPPESSep 12, 2012
Details
- NPI
- 1407106933
- Entity type
- Organization (NPI-2)
- Legal business name
- Urosurg, LLC
- Organization subpart
- No
- Enumeration date
- Sep 12, 2012
- Last updated
- Sep 12, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA1903X | Clinic/Center, Ambulatory Surgical | – | – | Yes |
Practice location
1815 Old Ocilla RdTifton, GA 31794-1617
Phone 229-391-3535 · Fax 229-391-3529
Mailing address
1815 Old Ocilla RdTifton, GA 31794-1617
Phone 229-391-3535 · Fax 229-391-3529
Authorized official
Jennifer D Flowers
Asc Administrator
2293913541
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All 6 Ambulatory Surgical Clinic/Center providers in Tifton · All 1,003 providers in Tifton
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