ATLANTA COSMETIC UROLOGY LLC NPI 1750946703

NPI Information

ATLANTA COSMETIC UROLOGY LLC is an urology in Atlanta, 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. ATLANTA COSMETIC UROLOGY LLC NPI is 1750946703. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

371 E PACES FERRY ROAD
SUITE 550
ATLANTA, GA
ZIP 30305-292
Phone: (404) 400-3120

The provider's authorized official is Tariq Hakky .
The authorized official title is Owner and has the following contact phone number (404) 400-3120.

The enumeration date for this NPI number is 5/6/2019 and was last updated on 5/6/2019.

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:

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