| Organization Name: | MARTINSVILLE UROLOGIC CLINIC PC |
| NPI Number: | 1073667630 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GEORGE SAMUEL HURT (OFFICER) |
| Mailing Address: | 15 Cleveland Ave Suite 15 Martinsville |
| State: | VA US |
| Postal Code: | 241122937 |
| Phone Number: | 2766345000 |
| Fax Number: | 2766345229 |
| NPI Enumeration Date: | 01/22/2007 |
| NPI Last Update Date: | 06/26/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2088P0231X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Urology |
| Taxonomy Specialization: | Pediatric Urology |
| Taxonomy Definition: | Surgeons who can diagnose, treat, and manage children |