NPI 1093973836

Urology Group PC

Organisation Urology Physician Southaven, MS

Practice location

Address: 401 Southcrest Cir Suite 201, Southaven, MS 38671
Phone: (662) 349-4329
Mailing address: 401 Southcrest Cir Suite 201, Southaven, MS 38671-6726

Authorised official

Name: Deborah a Eddlestone
Title: Consultant
Phone: (901) 271-2272

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X

Other Urology providers in Mississippi →

Registry record

NPI: 1093973836
Entity type: Organization
NPI issued: 29 May 2008
Record last updated: 29 Aug 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.