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UROLOGY GROUP PC NPI 1053346064


NPI Information

NPI: 1053346064
Provider Name: UROLOGY GROUP PC
Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 04D2270323

Address:
6029 WALNUT GROVE RD
SUITE 300
MEMPHIS, TN
ZIP 38120
Phone: (901) 767-8158
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UROLOGY GROUP PC is an urology in Memphis, TN. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. UROLOGY GROUP PC NPI is 1053346064. The provider is registered as an organization entity type.

The provider's business location address is:

6029 WALNUT GROVE RD
SUITE 300
MEMPHIS, TN
ZIP 38120-112
Phone: (901) 767-8158
Fax: (901) 767-1555

The provider's authorized official is Angie Wilson .
The authorized official title is Operations Manager and has the following contact phone number (901) 767-8158.

The CLIA number assigned to this NPI record is 04D2270323 - independent with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/11/2006 and was last updated on 2/8/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1291U00000XClinical Medical LaboratoryNo
2208800000XUrologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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