Southern Urology, P. A.

LBN: Southern Urology, P. A.
Southern Urology, P. A. is an health care organization with primary practice located at 139 Fairfield Dr , Hattiesburg MS 39402-1303. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Southern Urology, P. A. can be contacted via phone (601) 450-2417, or through Azar, Deborah T via phone (601) 450-2401.

Contact Information

Primary practice address
139 Fairfield Dr Hattiesburg MS 39402-1303
Phone: (601) 450-2417
Fax: (601) 450-2410
Website:
Map and Directions
Authorized official contact:
Name: Azar, Deborah T Doctor of Medicine (MD)
Phone: (601) 450-2401

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1316065436
LBN Legal business name Southern Urology, P. A.
DBA Doing business as
Authorized official Azar, Deborah T Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 27th, 2007
Last updated Feb 15th, 2011 - about 15 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1316065436 NPPES
Mississippi MEDICAID 05137554

Popular Providers