UROLOGICAL CLINIC OF VALDOSTA is a medical specialty clinic center in Valdosta, GA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). UROLOGICAL CLINIC OF VALDOSTA NPI is 1558341057. The provider is registered as an organization entity type.
The provider's business location address is:
3000 N PATTERSON ST
VALDOSTA, GA
ZIP 31602-711
Phone: (229) 241-1188
Fax: (229) 245-7106
The provider's authorized official is David Eric Eaton .
The authorized official title is Physician Assistant and has the following contact phone number (229) 242-9003.
The CLIA number assigned to this NPI record is 11D2063574 - ambulatory surgery center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 1/19/2006 and was last updated on 8/22/2020.