Organization
OCMULGEE UROLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE HESTER (CFP)
(478) 448-4050
Entity
Organization
Contact information
Practice address
1111 GRIFFIN AVE, SUITE 1A, EASTMAN, GA 31023-9101
(478) 448-4416
(478) 448-4423
Mailing address
PO BOX 4128, EASTMAN, GA 31023-4128
(478) 448-4416
(478) 448-4423
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
06/27/2011
Last updated
06/30/2011
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