Georgia Urology Pa in Douglasville - Urology
Georgia Urology Pa - NPI 1508081795
Georgia Urology Pa is a Urology in Douglasville, Georgia. Georgia Urology Pa practices all healthcare services and medical treatments related to Urology. The NPI Number for Georgia Urology Pa is 1508081795. The last update date is 2020-11-04.
Georgia Urology Pa's current location address is 4645 Timber Ridge Dr Ste 120, Douglasville, Georgia. You can contact this provider via phone number 7709422478 and fax number 6786314986. The mailing address for Georgia Urology Pa is 4645 Timber Ridge Dr Ste 120, Douglasville, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Georgia Urology Pa |
|---|---|
| Address | 4645 Timber Ridge Dr Ste 120, Douglasville, Georgia |
| Phone Number | 7709422478 |
| Fax Number | 6786314986 |
| 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 | 1508081795 |
|---|---|
| Provider Enumeration Date | 2007-04-15 |
| Last Updated Date | 2020-11-04 |
Provider Mailing Address Detail
| Address | 4645 Timber Ridge Dr Ste 120 |
|---|---|
| City | Douglasville |
| State | Georgia (GA) |
| Post Code | 301357542 |
| Phone Number | 7709422478 |
| Fax Number | 6786314986 |
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 |
|---|---|---|---|
| 11D0980072 | GA | CLIA |
Post Comment/ Review Below
What is the Georgia Urology Pa's unique identification number?
The Georgia Urology Pa has been assigned the NPI (National Provider Identifier) Number 1508081795 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Georgia Urology Pa is located?
The Georgia Urology Pa is situated at the following address: 4645 Timber Ridge Dr Ste 120, Douglasville, GA, 301357542.
What is the Georgia Urology Pa's specialty and taxonomy code?
The Georgia Urology Pa's specialty is Urology, and the corresponding taxonomy code is 208800000X.
When did Georgia Urology Pa receive its 1508081795 assignment?
The Georgia Urology Pa was assigned its 1508081795 on 2007-04-15, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Georgia Urology Pa, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Georgia Urology Pa, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-11-04.