Georgia Urology PA

NPI #1497971329 in Riverdale, Georgia

Provider Information

NPI Number: 1497971329
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 18, 2007
Last Updated: Jan 29, 2015

Practice Location

Address: 33 UPPER RIVERDALE RD SW
Address 2: SUITE 105
City: Riverdale
State: Georgia
ZIP Code: 30274-2626
Phone: (770) 991-0020

Authorized Official

Name: DR. MARK A HABER, M.D.
Title: MANAGING PARTNER
Phone: (678) 284-4049

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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