Griffin Urology, PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

009748 Issued in GA

Legal business name

GRIFFIN UROLOGY, PC

Doing business as

Lucian L Tatum Jr MD

Practice address

653 S 8TH St
Griffin, GA 30224-4242

Phone

(770) 227-1075

Fax

(770) 227-1085

NPI assigned

Jul 23, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Lucian L Tatum Jr., MD

Title

Physician

Phone

(770) 227-1075

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• LUCIAN L TATUM JR MD Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184803200000",
    "number": "1396766259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 S 8TH ST",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244242",
            "telephone_number": "770-227-1075",
            "fax_number": "770-227-1085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 S 8TH ST",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244242",
            "telephone_number": "770-227-1075",
            "fax_number": "770-227-1085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRIFFIN UROLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2007-07-19",
        "status": "A",
        "authorized_official_last_name": "TATUM",
        "authorized_official_first_name": "LUCIAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "770-227-1075",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "009748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00111229C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LUCIAN L TATUM JR MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Consuelo Griffin
• Cory Edwin Griffin, PTA
• Stella Griffin, PHARMD, MBA
• Charles Kevin Grigsby, M.D.

• Specialist in Griffin, GA
• Providers in Griffin, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.