Provider Demographics
NPI:1528584240
Name:UROLOGY ASSOCIATES PC
Entity Type:Organization
Organization Name:UROLOGY ASSOCIATES PC
Other - Org Name:URORX GALLATIN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE ADMINSTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MICAIL
Authorized Official - Middle Name:
Authorized Official - Last Name:SAMIERE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-250-9200
Mailing Address - Street 1:2801 CHARLOTTE AVE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37209-4035
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:405 STEAM PLANT RD
Practice Address - Street 2:
Practice Address - City:GALLATIN
Practice Address - State:TN
Practice Address - Zip Code:37066-3027
Practice Address - Country:US
Practice Address - Phone:615-250-9200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-15
Last Update Date:2017-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty