Organization
UROLOGICAL CLINIC OF VALDOSTA AMBULATORY SURGICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIKE S CHIANG M.D. (OWNER)
(229) 241-1188
Entity
Organization
Contact information
Practice address
3294 N OAK STREET EXT, VALDOSTA, GA 31605-6473
(229) 241-1188
(229) 245-7106
Mailing address
3294 N OAK STREET EXT, VALDOSTA, GA 31605-6473
(229) 241-1188
(229) 245-7106
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
05/14/2013
Last updated
05/14/2013
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