Provider Demographics
NPI:1588846307
Name:HAMRICK & MOELLINGER UROLOGY PC
Entity Type:Organization
Organization Name:HAMRICK & MOELLINGER UROLOGY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LEON
Authorized Official - Middle Name:C
Authorized Official - Last Name:HAMRICK JR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:205-933-7321
Mailing Address - Street 1:2700 10TH AVE S
Mailing Address - Street 2:SUITE 505
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35205
Mailing Address - Country:US
Mailing Address - Phone:205-933-7321
Mailing Address - Fax:205-939-0051
Practice Address - Street 1:2700 10TH AVE S
Practice Address - Street 2:STE 505
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35205-1200
Practice Address - Country:US
Practice Address - Phone:205-933-7321
Practice Address - Fax:205-939-0051
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-04
Last Update Date:2013-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
K027Medicare PIN