Organization
UROLOGY GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE WILSON (OPERATIONS MANAGER)
(901) 767-8158
Entity
Organization
Contact information
Practice address
302 S RHODES ST, WEST MEMPHIS, AR 72301-4215
(901) 767-8158
(901) 328-5853
Mailing address
6029 WALNUT GROVE RD, SUITE 300, MEMPHIS, TN 38120-2112
(901) 767-8158
(901) 328-5853
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
26045
TN
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
11/09/2016
Last updated
02/08/2023
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