Organization
SEQUATCHIE VALLEY UROLOGY, LLC
Active
Organization
SEQUATCHIE VALLEY UROLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK BIRMINGHAM (DIRECTOR)
(615) 373-7625
Entity
Organization
Contact information
Practice address
980 HIGHWAY 28, SUITE 201, JASPER, TN 37347-3695
(423) 942-2555
(423) 942-2005
Mailing address
980 HIGHWAY 28, SUITE 201, JASPER, TN 37347-3699
(423) 942-2555
(423) 942-2005
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
09/30/2005
Last updated
08/22/2020
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