NPI 1962557157

Southern Urology Associates LLC

Organisation Urology Physician Gulfport, MS

Practice location

Address: 12330 Ashley Dr, Gulfport, MS 39503-2737
Phone: (228) 831-1572
Fax: (228) 831-1218

Authorised official

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

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X

Other Urology providers in Mississippi →

Registry record

NPI: 1962557157
Entity type: Organization
NPI issued: 25 Jan 2007
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.