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Organization

BURLINGTON UROLOGICAL ASSOCIATES OF MEBANE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BETTY HALL (OFFICE MANAGER)
(336) 227-2761
Entity
Organization

Contact information

Practice address
102 MEDICAL PARK DR, SUITE C, MEBANE, NC 27302-7632
(919) 563-6132
Mailing address
102 MEDICAL PARK DR, SUITE C, MEBANE, NC 27302-7632
(919) 563-6132

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
230130
MEDICARE GROUP #
NC
05
89230130
NC
Enumeration date
04/16/2007
Last updated
10/05/2007
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