Sequatchie Valley Urology, LLC

NPI #1225025653 in Jasper, Tennessee

Provider Information

NPI Number
1225025653
Entity Type
Organization
Organization Name
Sequatchie Valley Urology, LLC
Primary Specialty
Urology
Enumeration Date
Sep 30, 2005
Last Updated
Aug 22, 2020

Practice Location

Address
980 HIGHWAY 28
Address 2
SUITE 201
City
Jasper
ZIP Code
37347-3695
Phone
(423) 942-2555

Authorized Official

Name
MR. PATRICK BIRMINGHAM
Title
DIRECTOR
Phone
(615) 373-7625

Specialties & Taxonomy Codes

Specialty
Urology

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