Organization
CLINICAL UROLOGY ASSOCIATES, P.C.
Active
Parent organization
CLINICAL UROLOGY ASSOCIATES, P.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLINICAL UROLOGY ASSOCIATES, P.C.
Authorized official
KOURTNEY MAYO (CREDENTIALING)
(256) 613-0322
Entity
Organization
Contact information
Practice address
7063 VETERANS PKWY STE 100, PELL CITY, AL 35125-5114
(256) 492-4040
(256) 492-4017
Mailing address
713 GOODYEAR AVE, GADSDEN, AL 35903-1156
(256) 492-4040
(256) 492-4017
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275823544
—
AL
Enumeration date
08/18/2020
Last updated
01/06/2023
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