UROLOGY PROFESSIONAL ASSOC NPI 1508886805

NPI Information

UROLOGY PROFESSIONAL ASSOC is an urology in Tupelo, MS. 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 PROFESSIONAL ASSOC NPI is 1508886805. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

499 GLOSTER CREEK VILLAGE
SUITE A1
TUPELO, MS
ZIP 38801-600
Phone: (662) 377-7118
Fax: (662) 377-7115

The provider's authorized official is Amy Hamilton .
The authorized official title is Business Manager and has the following contact phone number (662) 432-0700.

The CLIA number assigned to this NPI record is 25D0316976 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/20/2006 and was last updated on 11/20/2020.

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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