Tri-State Urology, P.c.

NPI #1336514389 in Dothan, Alabama

Provider Information

NPI Number: 1336514389
Entity Type: Organization
Organization Name: Tri-State Urology, P.c.
Primary Specialty: Urology
Enumeration Date: Dec 2, 2015
Last Updated: Dec 2, 2015

Practice Location

Address: 4300 W MAIN ST
Address 2: SUITE 102
City: Dothan
State: Alabama
ZIP Code: 36305-1054
Phone: (334) 793-9564

Authorized Official

Name: MRS. MELISSA W REEVES
Title: ADMINISTRATOR
Phone: (334) 793-9564

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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