Georgia Urology, PA

NPI #1033938147 in Gainesville, Georgia

Provider Information

NPI Number: 1033938147
Entity Type: Organization
Organization Name: Georgia Urology, PA
Subpart: Yes (part of a larger organization)
Parent Organization: GEORGIA UROLOGY, PA
Primary Specialty: Urology
Enumeration Date: Oct 7, 2024
Last Updated: Oct 7, 2024

Practice Location

Address: 1315 JESSE JEWELL PKWY NE STE 201
City: Gainesville
State: Georgia
ZIP Code: 30501-3811
Phone: (770) 219-8765

Authorized Official

Name: MARK A HABER
Title: MD
Phone: (678) 284-4040

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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