Provider Demographics
NPI:1629188164
Name:UROLOGY P.C.
Entity Type:Organization
Organization Name:UROLOGY P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:K
Authorized Official - Last Name:TURNBULL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:251-923-0550
Mailing Address - Street 1:PO BOX 2204
Mailing Address - Street 2:
Mailing Address - City:FAIRHOPE
Mailing Address - State:AL
Mailing Address - Zip Code:36533-2204
Mailing Address - Country:US
Mailing Address - Phone:251-923-0550
Mailing Address - Fax:251-923-0551
Practice Address - Street 1:1506 N MCKENZIE ST
Practice Address - Street 2:SUITE 107
Practice Address - City:FOLEY
Practice Address - State:AL
Practice Address - Zip Code:36535-2264
Practice Address - Country:US
Practice Address - Phone:251-923-0550
Practice Address - Fax:251-923-0551
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2015-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL529403360Medicaid