The Urology Clinic, LLC

NPI #1023678000 in Gulfport, Mississippi

Provider Information

NPI Number: 1023678000
Entity Type: Organization
Organization Name: The Urology Clinic, LLC
Primary Specialty: Urology
Enumeration Date: Jun 20, 2019
Last Updated: Jun 20, 2019

Practice Location

Address: 14231 SEAWAY RD STE 6000
City: Gulfport
State: Mississippi
ZIP Code: 39503-4628
Phone: (228) 254-1103

Authorized Official

Name: DR. PAIGE C WHITE, MD
Title: MD/SOLE MEMBER
Phone: (228) 254-1103

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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