Organization
UROLOGY GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE WILSON (OPERATIONS MANAGER)
(901) 767-8158
Entity
Organization
Contact information
Practice address
7550 WOLF RIVER BLVD STE 200, GERMANTOWN, TN 38138-1778
(901) 767-8158
Mailing address
7550 WOLF RIVER BLVD STE 200, GERMANTOWN, TN 38138-1778
(901) 767-8158
(901) 767-1555
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
—
—
208800000X
Urology Physician
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
07/11/2006
Last updated
11/13/2025
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