Organization
SOUTHEAST GEORGIA UROLOGY ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERRY SHEA LANZONE (TREASURER)
(912) 261-0447
Entity
Organization
Contact information
Practice address
2500 STARLING ST, SUITE 406, BRUNSWICK, GA 31520-4265
(912) 261-0447
(912) 261-1847
Mailing address
2500 STARLING ST, SUITE 406, BRUNSWICK, GA 31520-4265
(912) 261-0447
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
11/02/2006
Last updated
08/15/2013
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