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NPI Verification

National Provider Identifier: 1962557157

Southern Urology Associates LLC

Organization

Primary Specialty

Urology

Code: 208800000X

Practice Address

12330 ASHLEY DR

GULFPORT, MS 395032737

Phone: 228-831-1572

NPI Enumeration Date

January 25, 2007

NPI Number

1962557157

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