Dublin Urology, LLC

NPI #1508121245 in Dublin, Georgia

Provider Information

NPI Number: 1508121245
Entity Type: Organization
Organization Name: Dublin Urology, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: SOUTHEAST REGIONAL PRIMARY CARE CORPORATION
Primary Specialty: Urology
Enumeration Date: Jul 9, 2012
Last Updated: Sep 8, 2014

Practice Location

Address: 200 FAIRVIEW PARK DR
City: Dublin
State: Georgia
ZIP Code: 31021-2547
Phone: (478) 272-6150

Authorized Official

Name: TONY M OSTEEN
Title: CFO
Phone: (912) 538-5314

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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