Organization
UROLOGY CLINIC OF SOUTH ALABAMA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDRU E BENET MD (OWNER)
(334) 427-7218
Entity
Organization
Contact information
Practice address
215 MEDICAL PARK DR, SUITE 2, ANDALUSIA, AL 36420-5311
(334) 427-7218
(334) 427-4999
Mailing address
215 MEDICAL PARK DR, SUITE 2, ANDALUSIA, AL 36420-5311
(334) 427-7218
(334) 427-4999
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
AL00025839
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DG3879
RAILROAD MEDICARE
—
Enumeration date
08/27/2007
Last updated
02/14/2008
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