Georgia Urology PA

NPI #1891227302 in Canton, Georgia

Provider Information

NPI Number: 1891227302
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 3, 2017
Last Updated: Sep 30, 2019

Practice Location

Address: 470 NORTHSIDE CHEROKEE BLVD STE 201
City: Canton
State: Georgia
ZIP Code: 30115-8015
Phone: (770) 720-7246

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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