NPI age
18 years
Enumerated 2007-11-27
● Active Type 2 · Organization
East Georgia Urologic Clinic, Pc
East Georgia Urologic Clinic, Pc is 1 of 563 urology organizations in Georgia.
Primary specialty
Urology
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Thaller
President
Last NPPES update
2008-01-03
Source: monthly bulk 2026-05
How this organization compares
Across 563 active urology providers in Georgia.
NPI age
18 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-11Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
614 E Grady St
Statesboro, GA 304582067
Mailing address
614 East Grady Street
Statesboro, GA 30458
Authorized official
Timothy R Thaller, M.D.
President
📞 9127649001
Specialties
-
Urology PrimaryA urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of...
Practice context
Single-site organization. Only one practice location on file.
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