Lucian L Tatum Jr Md

LBN: Griffin Urology, Pc
Lucian L Tatum Jr Md is an health care organization with primary practice located at 653 S 8Th St , Griffin GA 30224-4242. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Griffin Urology, Pc can be contacted via phone (770) 227-1075, or through Tatum, Lucian L via phone (770) 227-1075.

Contact Information

Primary practice address
653 S 8Th St Griffin GA 30224-4242
Phone: (770) 227-1075
Fax: (770) 227-1085
Website:
Map and Directions
Authorized official contact:
Name: Tatum, Lucian L Doctor of Medicine (MD)
Phone: (770) 227-1075

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 009748 Georgia

Profile Details

NPI number 1396766259
LBN Legal business name Griffin Urology, Pc
DBA Doing business as Lucian L Tatum Jr Md
Authorized official Tatum, Lucian L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 23rd, 2006
Last updated Jul 19th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396766259 NPPES
Georgia MEDICAID 00111229C

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