Ocmulgee Urology, LLC

NPI #1306132410 in Eastman, Georgia

Provider Information

NPI Number: 1306132410
Entity Type: Organization
Organization Name: Ocmulgee Urology, LLC
Primary Specialty: Urology
Enumeration Date: Jun 27, 2011
Last Updated: Jun 30, 2011

Practice Location

Address: 1111 GRIFFIN AVE
Address 2: SUITE 1A
City: Eastman
State: Georgia
ZIP Code: 31023-9101
Phone: (478) 448-4416

Authorized Official

Name: MR. MIKE HESTER
Title: CFP
Phone: (478) 448-4050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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