PROVIDENCE UROLOGY, PLLC

NPI: 1255537403 · Organization · Active

Primary Specialty

Urology Physician
Urology

Practice Location

1428 ELLEN ST
SUITE A
MONROE, NC 28112-5285 Map ↗
Phone: 704-289-4361
Fax: 704-283-4705

All Specialties & Licenses

  • Urology Physician Primary (license: 200101464, NC)
  • Specialist

NPI Registration

Enumerated: 2007-06-25

Last CMS Update: 2022-07-21