EFFINGHAM UROLOGY LLC NPI 1598220915

NPI Information

  • NPI: 1598220915
  • Provider Name: EFFINGHAM UROLOGY, LLC
  • Classification: Urology - 208800000X
  • Entity Type: Organization
  • CLIA Number: 11D2293704
  • Address: 613 TOWNE PARK DR W STE 204
    RINCON, GA
    ZIP 31326
  • Phone: (912) 754-6451

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NPI Details

EFFINGHAM UROLOGY, LLC is an urology in Rincon, GA. 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. EFFINGHAM UROLOGY, LLC NPI is 1598220915. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

613 TOWNE PARK DR W STE 204
RINCON, GA
ZIP 31326-183
Phone: (912) 754-6451

The provider's authorized official is Francine Baker-witt .
The authorized official title is Ceo and has the following contact phone number (912) 754-0142.

The CLIA number assigned to this NPI record is 11D2293704 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/11/2019 and was last updated on 3/17/2019.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208800000XUrologyYes

What is NPI?

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This page was last updated on: 11/21/2025

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