Organization
NEW BERN UROLOGY CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THURLOW REED UNDERHILL MD (PRESIDENT PHYSICIAN)
(252) 633-2712
Entity
Organization
Contact information
Practice address
705 NEWMAN RD, NEW BERN, NC 28562
(252) 633-2712
(252) 633-5418
Mailing address
705 NEWMAN RD, NEW BERN, NC 28562
(252) 633-2712
(252) 633-5418
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
16962
NC
208800000X
Urology Physician
31041
NC
208800000X
Urology Physician
31229
NC
208800000X
Urology Physician
9601753
NC
208800000X
Urology Physician
—
NC
208800000X
Urology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02298
BCBS
NC
05
—
8902298
—
NC
Enumeration date
06/06/2006
Last updated
08/22/2020
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