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NPI Code Detail

MEDICARE: UROLOGY ASSOCIATES PC

MEDICARE: UROLOGY ASSOCIATES PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208800000XUrology Physician

General Provider Information

NPI Number : 1881110500
Entity Type Code : Organization
Provider Name (Legal Business Name) : UROLOGY ASSOCIATES PC
Provider Business Mailing Address
First Line : 2801 CHARLOTTE AVE
Second Line :
City : NASHVILLE
State : TN
Zip : 37209-4035
Country : US
Telephone Number : 615-250-9200
Fax Number :
Provider Business Practice Location Address
First Line : 107 GLEN OAK BLVD STE 100
Second Line :
City : HENDERSONVILLE
State : TN
Zip : 37075-3161
Country : US
Telephone Number : 615-250-9200
Fax Number :
Authorized Official
Title or Position : PRACTICE ADMINSTRATOR
Name : MICAIL SAMIERE
Credential :
Telephone Number : 615-250-9200
Provider Enumeration Date : 08/15/2017
Last Update Date : 08/15/2017

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