Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Statesboro Urologic Clinic, PC

Organization Urology Physician · NPI 1285662866

Statesboro Urologic Clinic, PC is an Urology Physician in Statesboro, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

412 Northside Dr E Ste 500
Statesboro, GA 30458-4802
Phone: (912) 764-6808
Fax: (912) 764-2436
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 020839 (GA)
Urology Physician Taxonomy 208800000X · Licence 046818 (GA)

Record details

NPI number1285662866
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Tilson — President · (912) 764-6808
NPI enumeratedJune 30, 2006
Last updated in NPPESAugust 22, 2020
Mailing address412 Northside Dr E, Suite 500, Statesboro, GA 30458-4802

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