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GEORGIA UROLOGY PA NPI 1336364520


NPI Information

NPI: 1336364520
Provider Name: GEORGIA UROLOGY PA
Classification: Urology - 208800000X
Entity Type: Organization
Address:
970 JOE FRANK HARRIS PKWY SE
SUITE 260
CARTERSVILLE, GA
ZIP 30120
Phone: (770) 607-1893
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GEORGIA UROLOGY PA is an urology in Cartersville, 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 1336364520. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

970 JOE FRANK HARRIS PKWY SE
SUITE 260
CARTERSVILLE, GA
ZIP 30120-159
Phone: (770) 607-1893
Fax: (770) 607-2930

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 enumeration date for this NPI number is 4/15/2007 and was last updated on 1/26/2015.


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
1208800000XUrologyYes

Other Identifiers

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

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
111D0943322OTHERGEORGIACLIA
20879130004MEDICARE NSCGEORGIA
3GRP1552MEDICARE PINGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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