GEORGIA UROLOGY PA NPI 1851517072

NPI Information

GEORGIA UROLOGY PA is an urology in Smyrna, 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 UROLOGY PA NPI is 1851517072. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4298 ATLANTA RD. SE
SUITE 300
SMYRNA, GA
ZIP 30080
Phone: (770) 429-9100
Fax: (770) 429-1391

The provider's authorized official is Mark A Haber .
The authorized official title is Managing Partner and has the following contact phone number (678) 284-4049.

The CLIA number assigned to this NPI record is 11D0902145 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/17/2007 and was last updated on 8/18/2023.

Taxonomy Codes

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