SOUTHEAST UROLOGY NETWORK PC NPI 1184770356

NPI Information

SOUTHEAST UROLOGY NETWORK PC is a specialist in Memphis, TN. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SOUTHEAST UROLOGY NETWORK PC NPI is 1184770356. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

995 S YATES RD
STE. 1
MEMPHIS, TN
ZIP 38119-882
Phone: (901) 527-7100
Fax: (901) 527-7124

The provider's authorized official is Alan Michael Alabaster .
The authorized official title is President and has the following contact phone number (901) 527-7100.

The CLIA number assigned to this NPI record is 25D0980065 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/28/2007 and was last updated on 1/29/2008.

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:

Other Identifiers

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