GEORGIA UROLOGY AMBULATORY SURGICAL CENTER LLC is an ambulatory surgical clinic center in Decatur, GA. GEORGIA UROLOGY AMBULATORY SURGICAL CENTER LLC NPI is 1891716049. The provider is registered as an organization entity type.
The provider's business location address is:
2685 MILSCOTT DR
DECATUR, GA
ZIP 30033-906
Phone: (404) 292-3727
Fax: (404) 294-9674
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 CLIA number assigned to this NPI record is 11D2170251 - ambulatory surgery center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 7/22/2006 and was last updated on 1/20/2015.