Georgia Urology, PA

NPI #1457009664 in Canton, Georgia

Provider Information

NPI Number: 1457009664
Entity Type: Organization
Organization Name: Georgia Urology, PA
Primary Specialty: Urology
Enumeration Date: Mar 16, 2022
Last Updated: Mar 16, 2022

Practice Location

Address: 100 LIBERTY BLVD STE 240
City: Canton
State: Georgia
ZIP Code: 30114-2852
Phone: (770) 720-7246

Authorized Official

Name: CHRISTI G KIRKLAND
Title: DIRECTOR REVENUE CYCLE
Phone: (678) 284-4049

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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