Organization
ALBANY UROLOGY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL DUKES (ADMINISTRATOR)
(229) 883-1503
Entity
Organization
Contact information
Practice address
2400 OSLER CT, ALBANY, GA 31707-0205
(229) 883-1503
Mailing address
2400 OSLER CT, ALBANY, GA 31707-0205
(229) 883-1503
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00016673A
—
GA
Enumeration date
11/15/2006
Last updated
07/21/2022
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