Organization
THE UROLOGY INSTITUTE AMBULATORY SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARSHA D GLOVER MD (CEO)
(229) 227-0086
Entity
Organization
Contact information
Practice address
817 SMITH AVENUE, THOMASVILLE, GA 31792
(229) 227-0086
(229) 227-5929
Mailing address
PO BOX 2155, THOMASVILLE, GA 31799
(229) 227-0086
(229) 227-5929
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00935569A
—
GA
Enumeration date
08/30/2006
Last updated
11/07/2011
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