Georgia Urology Pa is a Urology in Canton, Georgia. Georgia Urology Pa practices all healthcare services and medical treatments related to Urology. The NPI Number for Georgia Urology Pa is 1609091891. The last update date is 2019-09-30.
Georgia Urology Pa's current location address is 470 Northside Cherokee Blvd Ste 201, Canton, Georgia. You can contact this provider via phone number 7707207246 and fax number 7707204620. The mailing address for Georgia Urology Pa is 470 Northside Cherokee Blvd Ste 201, Canton, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Georgia Urology Pa |
|---|---|
| Address | 470 Northside Cherokee Blvd Ste 201, Canton, Georgia |
| Phone Number | 7707207246 |
| Fax Number | 7707204620 |
| 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 | 1609091891 |
|---|---|
| Provider Enumeration Date | 2007-04-15 |
| Last Updated Date | 2019-09-30 |
Provider Mailing Address Detail
| Address | 470 Northside Cherokee Blvd Ste 201 |
|---|---|
| City | Canton |
| State | Georgia (GA) |
| Post Code | 301158015 |
| Phone Number | 7707207246 |
| Fax Number | 7707204620 |
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 |
|---|---|---|---|
| 11D0943320 | GA | CLIA |
Post Comment/ Review Below
What is the unique 10-digit identification 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) 1609091891 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Georgia Urology Pa located?
The Georgia Urology Pa is located at 470 Northside Cherokee Blvd Ste 201, Canton, GA 301158015.
What is Georgia Urology Pa's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Georgia Urology Pa is Urology, and the taxonomy classification code that categorizes this area of expertise is 208800000X.
On what date was the 1609091891 assigned to Georgia Urology Pa?
The Georgia Urology Pa was issued its 1609091891 on 2007-04-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Georgia Urology Pa, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Georgia Urology Pa, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-09-30.
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