NPI 1417912957

Urology Clinic, LLC

Organisation Specialist Andalusia, AL

Practice location

Address: 215 Medical Park Dr Suite 2, Andalusia, AL 36420-5311
Phone: (334) 427-7218
Fax: (334) 427-4999

Authorised official

Name: Wendy Weaver
Title: Office Manager
Phone: (334) 427-7218

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

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Registry record

NPI: 1417912957
Entity type: Organization
NPI issued: 18 Apr 2006
Record last updated: 22 Aug 2020

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.