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NPI Verification

National Provider Identifier: 1619919917

Southern Urology Associates LLC

Organization

Primary Specialty

Urology

Code: 208800000X

Practice Address

15190 COMMUNITY RD

SUITE 260

GULFPORT, MS 395033485

Phone: 228-539-0071

NPI Enumeration Date

June 12, 2006

NPI Number

1619919917

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry
Southern Urology Associates LLC - NPI 1619919917 | Provider Verification | HormoneMap