Organization
STATESBORO UROLOGIC CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL J TILSON MD (PRESIDENT)
(912) 764-6808
Entity
Organization
Contact information
Practice address
412 NORTHSIDE DR E, SUITE 500, STATESBORO, GA 30458-4802
(912) 764-6808
(912) 764-2436
Mailing address
412 NORTHSIDE DR E, SUITE 500, STATESBORO, GA 30458-4802
(912) 764-6808
(912) 764-2436
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
020839
GA
208800000X
Urology Physician
046818
GA
Other
Enumeration date
06/30/2006
Last updated
08/22/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up