WGUAS LLC NPI 1275929184

NPI Information

  • NPI: 1275929184
  • Provider Name: WGUAS, LLC
  • Classification: Urology - 208800000X
  • Entity Type: Organization
  • CLIA Number: 11D2163350
  • Address: 150 CLINIC AVE
    SUITE 202
    CARROLLTON, GA
    ZIP 30117
  • Phone: (770) 834-6988

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NPI Details

WGUAS, LLC is an urology in Carrollton, 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. WGUAS, LLC NPI is 1275929184. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

150 CLINIC AVE
SUITE 202
CARROLLTON, GA
ZIP 30117-401
Phone: (770) 834-6988
Fax: (770) 834-1090

The provider's authorized official is Marc Morin .
The authorized official title is Practice Administrator and has the following contact phone number (678) 390-7164.

The CLIA number assigned to this NPI record is 11D2163350 - ambulatory surgery center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/8/2015 and was last updated on 4/8/2015.

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
1208800000XUrologyGEORGIAYes

What is NPI?

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

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