Organization
THE UROLOGY CLINIC, LLC
Active
Other names
The Urology Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAIGE C WHITE MD (MD/SOLE MEMBER)
(228) 254-1103
Entity
Organization
Contact information
Practice address
14231 SEAWAY RD STE 6000, GULFPORT, MS 39503-4628
(228) 254-1103
(228) 206-2324
Mailing address
14231 SEAWAY RD STE 6000, GULFPORT, MS 39503-4628
(228) 254-1103
(228) 206-2324
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
06/20/2019
Last updated
06/20/2019
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