Statesboro Urologic Clinic, PC

NPI #1285662866 in Statesboro, Georgia

Provider Information

NPI Number: 1285662866
Entity Type: Organization
Organization Name: Statesboro Urologic Clinic, PC
Primary Specialty: Urology
Enumeration Date: Jun 30, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 412 NORTHSIDE DR E
Address 2: SUITE 500
City: Statesboro
State: Georgia
ZIP Code: 30458-4802
Phone: (912) 764-6808

Authorized Official

Name: PAUL J TILSON, MD
Title: PRESIDENT
Phone: (912) 764-6808

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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Individual Providers

Provider Name	Specialty	City
Timothy R Thaller, MD	Urology	Statesboro	AI Deep Dive
Thomas A. Sorbera, M.D.	Urology	Statesboro	AI Deep Dive
Paul J Tilson, MD	Urology	Statesboro	AI Deep Dive
DR. James S Goodlet JR., M.D.	Urology	Marietta	AI Deep Dive

Organizations

Provider Name	Specialty	City
East Georgia Urologic Clinic, PC	Urology	Statesboro	AI Deep Dive

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