Organization
GULF COAST UROLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL G WATERS DO (PHYSICIAN/OWNER)
(251) 943-8761
Entity
Organization
Contact information
Practice address
102 S GREENTREE LANE, FOLEY, AL 36535-4509
(251) 943-8761
(251) 947-8761
Mailing address
102 S GREENTREE LANE, FOLEY, AL 36535-4509
(251) 943-8761
(251) 947-8761
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
DO879
AL
Other
Enumeration date
06/06/2007
Last updated
06/06/2019
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