GEORGIA REGIONAL UROLOGY PC NPI 1558412502

NPI Information

GEORGIA REGIONAL UROLOGY PC is an urology in Marietta, GA. The provider is a 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 congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. GEORGIA REGIONAL UROLOGY PC NPI is 1558412502. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2520 WINDY HILL RD SE
SUITE 305
MARIETTA, GA
ZIP 30067-664
Phone: (770) 951-0866
Fax: (770) 951-1688

The provider's authorized official is David L Perlow .
The authorized official title is Medical Doctor and has the following contact phone number (770) 951-0866.

The CLIA number assigned to this NPI record is 11D0711711 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/16/2007 and was last updated on 12/30/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.