Dublin Urology, LLC
Urology in Dublin, GA. Organization (NPI-2).
NPI number1508121245
StatusActive
Last updated in NPPESSep 8, 2014
Details
- NPI
- 1508121245
- Entity type
- Organization (NPI-2)
- Legal business name
- Dublin Urology, LLC
- Organization subpart
- Yes
- Enumeration date
- Jul 9, 2012
- Last updated
- Sep 8, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208800000X | Urology | – | – | Yes |
Practice location
200 Fairview Park DrDublin, GA 31021-2547
Phone 478-272-6150
Mailing address
Po Box 407Vidalia, GA 30475-0407
Phone 912-537-4986
Authorized official
Tony M Osteen
Cfo
9125385314
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