# CLINICAL UROLOGY ASSOCIATES, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CLINICAL UROLOGY ASSOCIATES, P.C.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1790634103
- **Legal business name:** CLINICAL UROLOGY ASSOCIATES, P.C.
- **Authorized official:** KOURTNEY MAYO FORD (PRACTICE CREDENTIALING MANAGER)
- **Authorized official phone:** (256) 492-4040

## Contact information

- **Practice address:** 133 WALL ST, ALBERTVILLE, AL 35951-9300
- **Practice address phone:** (256) 492-4040
- **Practice address fax:** (256) 492-4017
- **Mailing address:** 713 GOODYEAR AVE, GADSDEN, AL 35903-1156
- **Mailing address phone:** (256) 492-4040
- **Mailing address fax:** (256) 492-4017

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | Yes |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | Yes |
| 208800000X | Urology Physician | — | NULL | — |
| 208800000X | Urology Physician | — | — | — |

## Other

- **Enumeration date:** 01/27/2026
- **Last updated:** 01/27/2026