Provider Demographics
NPI:1962532515
Name:UROLOGY AND UROLOGIC SURGERY PC
Entity type:Organization
Organization Name:UROLOGY AND UROLOGIC SURGERY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:ARTHUR
Authorized Official - Last Name:HATCHER
Authorized Official - Suffix:SR
Authorized Official - Credentials:MD
Authorized Official - Phone:865-544-9270
Mailing Address - Street 1:1932 ALCOA HWY
Mailing Address - Street 2:STE 475 BUILDING C
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37920-1523
Mailing Address - Country:US
Mailing Address - Phone:865-544-9270
Mailing Address - Fax:865-544-9860
Practice Address - Street 1:1932 ALCOA HWY
Practice Address - Street 2:STE 475 BUILDING C
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37920-1523
Practice Address - Country:US
Practice Address - Phone:865-544-9270
Practice Address - Fax:865-544-9860
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN021449208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty