Georgia Urology, PA

NPI #1093369795 in Canton, Georgia

Provider Information

NPI Number: 1093369795
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: Jul 31, 2019
Last Updated: Aug 26, 2020

Practice Location

Address: 470 NORTHSIDE CHEROKEE BLVD STE 210
City: Canton
State: Georgia
ZIP Code: 30115-8029
Phone: (770) 720-7246

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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