NPI 1316065436

Southern Urology, P. A.

Organisation Specialist Hattiesburg, MS

Practice location

Address: 139 Fairfield Dr, Hattiesburg, MS 39402-1303
Phone: (601) 450-2417
Fax: (601) 450-2410

Authorised official

Name: Deborah T Azar
Title: President
Phone: (601) 450-2401

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

Other Specialist providers in Mississippi →

Registry record

NPI: 1316065436
Entity type: Organization
NPI issued: 27 Mar 2007
Record last updated: 15 Feb 2011

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.