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GEORGIA UROLOGY PA NPI 1780809970


NPI Information

NPI: 1780809970
Provider Name: GEORGIA UROLOGY PA
Classification: Urology - 208800000X
Entity Type: Organization
Address:
5670 PEACHTREE DUNWOODY RD NE
SUITE 1250
ATLANTA, GA
ZIP 30342
Phone: (404) 256-1844
Get Directions

GEORGIA UROLOGY PA 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. GEORGIA UROLOGY PA NPI is 1780809970. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5670 PEACHTREE DUNWOODY RD NE
SUITE 1250
ATLANTA, GA
ZIP 30342-699
Phone: (404) 256-1844
Fax: (404) 252-0171

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 1/29/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GRP1552MEDICARE PINGEORGIA
211D0714543OTHERGEORGIACLIA
30879130013MEDICARE NSCGEORGIA

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: 4/28/2024

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