Advanced Urology Institute of Georgia PC

NPI #1942820576 in Canton, Georgia

Provider Information

NPI Number: 1942820576
Entity Type: Organization
Organization Name: Advanced Urology Institute of Georgia PC
Primary Specialty: Urology
Enumeration Date: Apr 23, 2020
Last Updated: Jan 2, 2025

Practice Location

Address: 2205 RIVERSTONE BLVD STE 101
City: Canton
State: Georgia
ZIP Code: 30114-5250
Phone: (678) 344-8900

Authorized Official

Name: BEEMAL SHAH
Title: CEO
Phone: (706) 951-8657

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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