Georgia Urology Fayette Asc
NPI #1265679674 in Fayetteville, Georgia
Provider Information
- NPI Number
- 1265679674
- Entity Type
- Organization
- Organization Name
- Georgia Urology Fayette Asc
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- GEORGIA UROLOGY PA
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Jan 7, 2009
- Last Updated
- Aug 14, 2025
Practice Location
- Address
- 1336 HWY 54W
- Address 2
- BLDG 100, SUITE 101
- City
- Fayetteville
- State
- Georgia
- ZIP Code
- 30214
- Phone
- (770) 460-9777
Authorized Official
- Name
- DR. MARK A HABER, MD
- Title
- MANAGING PARTNER
- Phone
- (678) 284-4049
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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