Coosa Valley Urology, P.c.

NPI #1083831804 in Sylacauga, Alabama

Provider Information

NPI Number: 1083831804
Entity Type: Organization
Organization Name: Coosa Valley Urology, P.c.
Primary Specialty: Specialist
Enumeration Date: Apr 20, 2007
Last Updated: Oct 4, 2013

Practice Location

Address: 16 SOUTH DOUGLAS AVENUE
City: Sylacauga
State: Alabama
ZIP Code: 35150
Phone: (256) 245-2269

Authorized Official

Name: DR. MAMOUN R PACHA, M.D.
Title: OWNER
Phone: (256) 245-2269

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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