Georgia Urology PA

NPI #1154855740 in Monroe, Georgia

Provider Information

NPI Number
1154855740
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
Apr 20, 2017
Last Updated
Apr 20, 2017

Practice Location

Address
2161 W SPRING ST.
Address 2
SUITE C
City
Monroe
State
Georgia
ZIP Code
30655-3196
Phone
(770) 963-2451

Authorized Official

Name
DR. MARK HABER
Title
MANAGING PARTNER
Phone
(678) 284-4049

Specialties & Taxonomy Codes

Specialty
Urology

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Organizations

Provider Name
Georgia Urology PA

Part of Georgia Urology PA

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