Southland Uro Gynecology ,llc

NPI #1043973498 in Americus, Georgia

Provider Information

NPI Number: 1043973498
Entity Type: Organization
Organization Name: Southland Uro Gynecology ,llc
Primary Specialty: Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery
Enumeration Date: Oct 21, 2021
Last Updated: Aug 8, 2024

Practice Location

Address: 100 PLANTATION RIDGE DR APT D
City: Americus
State: Georgia
ZIP Code: 31709-5282
Phone: (229) 474-6933

Authorized Official

Name: DR. BRANDON LUKE SEAGLE, MD
Title: PHYSICIAN
Phone: (229) 474-6933

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X
Urology - Urogynecology and Reconstructive Pelvic Surgery — Urogynecology and Reconstructive Pelvic Surgery	2088F0040X
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery — Urogynecology and Reconstructive Pelvic Surgery	207VF0040X	Primary

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