Organization
GREENVILLE UROLOGY GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANCIS J DALY II MD (OWNER)
(662) 334-9829
Entity
Organization
Contact information
Practice address
344 ARNOLD AVE, GREENVILLE, MS 38701-4711
(662) 334-8564
(662) 334-8539
Mailing address
344 ARNOLD AVE, GREENVILLE, MS 38701-4711
(662) 334-8564
(662) 334-8539
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
18690
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01926301
—
MS
01
—
DD4966
RAILROAD MEDICARE
MS
Enumeration date
05/23/2007
Last updated
08/22/2020
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