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

Coosa Valley Urology, PC

Organization Specialist · NPI 1083831804

Coosa Valley Urology, PC provides Specialist services in Sylacauga, Alabama. Licensed in Alabama. Registered with an NPI since 2007.

Licensed in
AL
In the registry since
2007
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

16 S Douglas Ave
Sylacauga, AL 35150 Not confirmed with CMS for 13 years — call before visiting
Phone: (256) 245-2269
Fax: (256) 245-2260
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 8767 (AL)

Record details

NPI number1083831804
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mamoun Pacha — Owner · (256) 245-2269
NPI enumeratedApril 20, 2007
Last updated in NPPESOctober 4, 2013
Mailing address16 South Douglas Avenue, Sylacauga, AL 35150

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