Georgia Regional Urology Pc in Marietta - Urology
Georgia Regional Urology Pc - NPI 1558412502
Georgia Regional Urology Pc is a Urology in Marietta, Georgia. Georgia Regional Urology Pc practices all healthcare services and medical treatments related to Urology. The NPI Number for Georgia Regional Urology Pc is 1558412502. The last update date is 2009-12-30.
Georgia Regional Urology Pc's current location address is 2520 Windy Hill Rd Se, Marietta, Georgia. You can contact this provider via phone number 7709510866 and fax number 7709511688. The mailing address for Georgia Regional Urology Pc is 2520 Windy Hill Rd Se, Marietta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Georgia Regional Urology Pc |
|---|---|
| Address | 2520 Windy Hill Rd Se, Marietta, Georgia |
| Phone Number | 7709510866 |
| Fax Number | 7709511688 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL DO |
|---|---|
| Authorized Official Name | Perlow L David |
| Credentials | MD |
| Telephone Number | 7709510866 |
NPI Number Detail
| NPI Number | 1558412502 |
|---|---|
| Provider Enumeration Date | 2007-01-16 |
| Last Updated Date | 2009-12-30 |
Provider Mailing Address Detail
| Address | 2520 Windy Hill Rd Se |
|---|---|
| City | Marietta |
| State | Georgia (GA) |
| Post Code | 300678664 |
| Phone Number | 7709510866 |
| Fax Number | 7709511688 |
Provider's Primary Taxonomy Detail
| Speciality | Urology |
|---|---|
| Taxonomy | 208800000X |
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Definition: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquir |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 621780001 | GA | DMERC | |
| 7280346 | GA | AETNA | |
| CL8362 | GA | RAILROAD MEDICARE |
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What is the Georgia Regional Urology Pc's 1558412502?
The Georgia Regional Urology Pc's NPI (National Provider Identifier) Number is 1558412502. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Georgia Regional Urology Pc located?
The Georgia Regional Urology Pc is located at 2520 Windy Hill Rd Se, Marietta, GA 300678664.
What is the Georgia Regional Urology Pc's area of specialization and corresponding taxonomy classification?
The Georgia Regional Urology Pc's specialty field is Urology, and it falls under the taxonomy code 208800000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1558412502 to Georgia Regional Urology Pc?
The Georgia Regional Urology Pc received its 1558412502 assignment from the Centers for Medicare & Medicaid Services on 2007-01-16.
As of what date was the information regarding Georgia Regional Urology Pc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Georgia Regional Urology Pc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-12-30.