Organization
WAYNE HEALTH UROLOGICAL ASSOCIATES LLC
Active
Parent organization
WAYNE HEALTH PHYSICIANS
Organization subpart
Yes
Provider details
NPI number
Legal business name
WAYNE HEALTH PHYSICIANS
Authorized official
MR. CLYDE LOUIS THOMAS II (EXECUTIVE DIRECTOR)
(919) 587-4081
Entity
Organization
Contact information
Practice address
1112 GRACIE PL, GOLDSBORO, NC 27534-2260
(919) 587-4081
(919) 587-0775
Mailing address
PO BOX 1717, GOLDSBORO, NC 27533-1717
(919) 587-4081
(919) 587-0775
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
12/30/2013
Last updated
12/10/2015
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