Georgia Urology Pa in Mcdonough - Urology
Georgia Urology Pa - NPI 1063637254
Georgia Urology Pa is a Urology in Mcdonough, Georgia. Georgia Urology Pa practices all healthcare services and medical treatments related to Urology. The NPI Number for Georgia Urology Pa is 1063637254. The last update date is 2015-01-26.
Georgia Urology Pa's current location address is 1930 Brannan Rd, Mcdonough, Georgia. You can contact this provider via phone number 6782844040 and fax number 6782844076. The mailing address for Georgia Urology Pa is 1930 Brannan Rd, Mcdonough, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Georgia Urology Pa |
|---|---|
| Address | 1930 Brannan Rd, Mcdonough, Georgia |
| Phone Number | 6782844040 |
| Fax Number | 6782844076 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGING P |
|---|---|
| Authorized Official Name | Haber A Mark |
| Credentials | M.D. |
| Telephone Number | 6782844049 |
NPI Number Detail
| NPI Number | 1063637254 |
|---|---|
| Provider Enumeration Date | 2007-04-15 |
| Last Updated Date | 2015-01-26 |
Provider Mailing Address Detail
| Address | 1930 Brannan Rd |
|---|---|
| City | Mcdonough |
| State | Georgia (GA) |
| Post Code | 302534310 |
| Phone Number | 6782844040 |
| Fax Number | 6782844076 |
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 |
|---|---|---|---|
| 11D1020143 | GA | CLIA |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Georgia Urology Pa by the Centers for Medicare & Medicaid Services?
The Georgia Urology Pa has been assigned the NPI (National Provider Identifier) 1063637254 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Georgia Urology Pa?
The Georgia Urology Pa is situated at 1930 Brannan Rd, in the city of Mcdonough, state of GA, with the zip code 302534310.
What is Georgia Urology Pa's specialized field of practice, and what is the corresponding taxonomy classification code?
The Georgia Urology Pa's area of specialization is Urology, and the corresponding taxonomy code that categorizes this field of practice is 208800000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1063637254 to Georgia Urology Pa?
The Centers for Medicare & Medicaid Services originally issued the 1063637254 to Georgia Urology Pa on 2007-04-15.
When was the information regarding Georgia Urology Pa, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Georgia Urology Pa, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2015-01-26.