Georgia Urology Pediatric LLC

NPI #1821019076 in Atlanta, Georgia

Provider Information

NPI Number: 1821019076
Entity Type: Organization
Organization Name: Georgia Urology Pediatric LLC
Subpart: Yes (part of a larger organization)
Parent Organization: GEORGIA UROLOGY, PA
Primary Specialty: Urology - Pediatric Urology
Enumeration Date: Jul 22, 2006
Last Updated: Jan 20, 2015

Practice Location

Address: 5445 MERIDIAN MARKS RD NE
Address 2: SUITE 420
City: Atlanta
State: Georgia
ZIP Code: 30342-4763
Phone: (404) 252-5206

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology - Pediatric Urology — Pediatric Urology	2088P0231X	Primary

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