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Organization

GRIFFIN UROLOGY, PC

Active
Other names
LUCIAN L TATUM JR MD
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LUCIAN L TATUM JR. MD (PHYSICIAN)
(770) 227-1075
Entity
Organization

Contact information

Practice address
653 S 8TH ST, GRIFFIN, GA 30224-4242
(770) 227-1075
(770) 227-1085
Mailing address
653 S 8TH ST, GRIFFIN, GA 30224-4242
(770) 227-1075
(770) 227-1085

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
009748
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00111229C
GA
Enumeration date
07/23/2006
Last updated
07/19/2007
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