Georgia Urology PA

NPI #1184089989 in Monroe, Georgia

Provider Information

NPI Number
1184089989
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
Dec 21, 2015
Last Updated
Dec 21, 2015

Practice Location

Address
2151B WEST SPRING ST
Address 2
STE 210
City
Monroe
State
Georgia
ZIP Code
30655-3115
Phone
(770) 963-2451

Authorized Official

Name
DR. MARK A HABER, M.D.
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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