Georgia Urology PA

NPI #1235354424 in Jasper, Georgia

Provider Information

NPI Number
1235354424
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 15, 2007
Last Updated
Jan 28, 2015

Practice Location

Address
220 J L WHITE DR
Address 2
SUITE 160
City
Jasper
State
Georgia
ZIP Code
30143-4893
Phone
(706) 692-4384

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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