GEORGIA UROLOGY PEDIATRIC LLC NPI 1770942856

NPI Information

  • NPI: 1770942856
  • Provider Name: GEORGIA UROLOGY PEDIATRIC LLC
  • Classification: Urology - 2088P0231X
  • Specialization: Pediatric Urology
  • Entity Type: Organization
  • Other Name: GEORGIA UROLOGY
  • Address: 5730 GLENRIDGE DR
    STE 200
    ATLANTA, GA
    ZIP 30328
  • Phone: (404) 256-1844

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NPI Details

GEORGIA UROLOGY PEDIATRIC LLC is a pediatric urology urology in Atlanta, GA. The provider is surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele). GEORGIA UROLOGY PEDIATRIC LLC NPI is 1770942856. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Georgia Urology.

The provider's business location address is:

5730 GLENRIDGE DR
STE 200
ATLANTA, GA
ZIP 30328-141
Phone: (404) 256-1844
Fax: (404) 252-5642

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 2/17/2016 and was last updated on 2/17/2016.

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
12088P0231XUrologyPediatric UrologyYes

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

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