NPI 1619919917

Southern Urology Associates LLC

Organisation Urology Physician Gulfport, MS

Practice location

Address: 15190 Community Rd Suite 260, Gulfport, MS 39503-3485
Phone: (228) 539-0071
Fax: (228) 539-0722

Authorised official

Name: Robert J. Lageese
Title: Vp
Phone: (504) 988-7044

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X

Other Urology providers in Mississippi →

Registry record

NPI: 1619919917
Entity type: Organization
NPI issued: 12 Jun 2006
Record last updated: 21 Jun 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.