Southeast Georgia Urology Associates PC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

SOUTHEAST GEORGIA UROLOGY ASSOCIATES PC

Practice address

2500 Starling St
Suite 406
Brunswick, GA 31520-4265

Phone

(912) 261-0447

Fax

(912) 261-1847

NPI assigned

Nov 2, 2006

Last updated

Aug 15, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kerry Shea Lanzone

Title

Treasurer

Phone

(912) 261-0447

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376524800000",
    "number": "1801975990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 STARLING ST",
            "address_2": "SUITE 406",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204265",
            "telephone_number": "912-261-0447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 STARLING ST",
            "address_2": "SUITE 406",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204265",
            "telephone_number": "912-261-0447",
            "fax_number": "912-261-1847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST GEORGIA UROLOGY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2013-08-15",
        "status": "A",
        "authorized_official_last_name": "LANZONE",
        "authorized_official_first_name": "KERRY",
        "authorized_official_middle_name": "SHEA",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "912-261-0447"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southeast Eye Laser Surgery Center
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• Southeast Georgia Hematology/Oncology Assoc.
• Southeast Georgia Open MRI LLC
• Southeast Lung & Critical Care Specialists
• Southeast Lung & Critical Care Specialists, PC (Southeast Lung Associates)
• Southeast Second Chance, Inc
• Southeast Support Services
• Southeastern OB-GYN, P.C.

• Urology Physician in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Urology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2013; 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.