Georgia Urology, PA

NPI #1396471009 in Ellijay, Georgia

Provider Information

NPI Number: 1396471009
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 26, 2022
Last Updated: Jul 26, 2022

Practice Location

Address: 433 HIGHLAND PKWY STE 102
City: Ellijay
State: Georgia
ZIP Code: 30540-6989
Phone: (706) 692-4384

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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