GEORGIA UROLOGY PA NPI 1073028643

NPI Information

  • NPI: 1073028643
  • Provider Name: GEORGIA UROLOGY PA
  • Classification: Urology - 208800000X
  • Entity Type: Organization
  • Doing Business As: GEORGIA UROLOGY, PA
  • Address: 4150 DEPUTY BILL CANTRELL MEMORIAL ROAD
    SUITE 140B
    CUMMING, GA
    ZIP 30040
  • Phone: (770) 889-9737

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NPI Details

GEORGIA UROLOGY PA is an urology in Cumming, 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 1073028643. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Georgia Urology, Pa.

The provider's business location address is:

4150 DEPUTY BILL CANTRELL MEMORIAL ROAD
SUITE 140B
CUMMING, GA
ZIP 30040
Phone: (770) 889-9737

The provider's authorized official is Mark A Haber .
The authorized official title is Managing Partner and has the following contact phone number (678) 284-4040.

The enumeration date for this NPI number is 12/5/2017 and was last updated on 12/5/2017.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208800000XUrologyYes

What is NPI?

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This page was last updated on: 11/21/2025

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