Organization
MIDDLE GEORGIA UROLOGY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL A DEIGHTON MD (OWNER)
(478) 953-5074
Entity
Organization
Contact information
Practice address
109 OSIGIAN BLVD, SUITE 300, WARNER ROBINS, GA 31088-8922
(478) 953-5074
(478) 953-0546
Mailing address
109 OSIGIAN BLVD, WARNER ROBINS, GA 31088-8922
(478) 953-5074
(478) 953-0546
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
040361
GA
Other
Enumeration date
08/11/2006
Last updated
04/13/2009
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