Centers for Advanced Urology, LLC
NPI #1659947117 in Wake Forest, North Carolina
Provider Information
- NPI Number
- 1659947117
- Entity Type
- Organization
- Organization Name
- Centers for Advanced Urology, LLC
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Jun 3, 2021
- Last Updated
- Oct 28, 2025
Practice Location
- Address
- 1904 S MAIN ST STE 114
- City
- Wake Forest
- State
- North Carolina
- ZIP Code
- 27587-5030
- Phone
- (919) 390-3978
Authorized Official
- Name
- JOANIE MARIE COCHRAN
- Title
- CREDENTIALING AGENT
- Phone
- (336) 306-9755
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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