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WAYCROSS UROLOGY CLINIC PC NPI 1902881378


NPI Information

NPI: 1902881378
Provider Name: WAYCROSS UROLOGY CLINIC PC
Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 11D0265055

Address:
1306 ALICE ST
WAYCROSS, GA
ZIP 31501
Phone: (912) 283-7951
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WAYCROSS UROLOGY CLINIC PC is an urology in Waycross, 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. WAYCROSS UROLOGY CLINIC PC NPI is 1902881378. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1306 ALICE ST
WAYCROSS, GA
ZIP 31501-527
Phone: (912) 283-7951
Fax: (912) 285-7922

The provider's authorized official is Tiffany N Strickland .
The authorized official title is Corporation Secretary and has the following contact phone number (912) 283-7951.

The CLIA number assigned to this NPI record is 11D0265055 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 12/8/2005 and was last updated on 12/23/2013.


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
1208800000XUrologyYes

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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