Urology Clinic of South Alabama, LLC

NPI #1013100627 in Andalusia, Alabama

Provider Information

NPI Number: 1013100627
Entity Type: Organization
Organization Name: Urology Clinic of South Alabama, LLC
Primary Specialty: Specialist
Enumeration Date: Aug 27, 2007
Last Updated: Feb 14, 2008

Practice Location

Address: 215 MEDICAL PARK DR
Address 2: SUITE 2
City: Andalusia
State: Alabama
ZIP Code: 36420-5311
Phone: (334) 427-7218

Authorized Official

Name: ALEXANDRU E BENET, MD
Title: OWNER
Phone: (334) 427-7218

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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