Provider Demographics
NPI:1003983883
Name:ARUNAS URBONAS MD PLLC
Entity Type:Organization
Organization Name:ARUNAS URBONAS MD PLLC
Other - Org Name:KIDNEY CARE & HYPERTENTION CLINIC OF SOUTH GEORGIA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ARUNAS
Authorized Official - Middle Name:
Authorized Official - Last Name:URBONAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:229-247-1414
Mailing Address - Street 1:3564B NORTHCROSSING CIR
Mailing Address - Street 2:
Mailing Address - City:VALDOSTA
Mailing Address - State:GA
Mailing Address - Zip Code:31602-1067
Mailing Address - Country:US
Mailing Address - Phone:229-247-1414
Mailing Address - Fax:229-247-1978
Practice Address - Street 1:3564B NORTHCROSSING CIR
Practice Address - Street 2:
Practice Address - City:VALDOSTA
Practice Address - State:GA
Practice Address - Zip Code:31602-1067
Practice Address - Country:US
Practice Address - Phone:229-247-1414
Practice Address - Fax:229-247-1978
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAGRP6918Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER