Organization
UROSURG, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JENNIFER D FLOWERS (ASC ADMINISTRATOR)
(229) 391-3541
Entity
Organization
Contact information
Practice address
1815 OLD OCILLA RD, TIFTON, GA 31794-1617
(229) 391-3535
(229) 391-3529
Mailing address
1815 OLD OCILLA RD, TIFTON, GA 31794-1617
(229) 391-3535
(229) 391-3529
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
09/12/2012
Last updated
09/12/2012
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