Georgia Urology Pa is a Urology in Lithonia, Georgia. Georgia Urology Pa practices all healthcare services and medical treatments related to Urology. The NPI Number for Georgia Urology Pa is 1962627158. The last update date is 2015-01-28.
Georgia Urology Pa's current location address is 5910 Hillandale Dr, Lithonia, Georgia. You can contact this provider via phone number 7709812090 and fax number 7709817411. The mailing address for Georgia Urology Pa is 5910 Hillandale Dr, Lithonia, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Georgia Urology Pa |
|---|---|
| Address | 5910 Hillandale Dr, Lithonia, Georgia |
| Phone Number | 7709812090 |
| Fax Number | 7709817411 |
| 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 | 1962627158 |
|---|---|
| Provider Enumeration Date | 2007-04-15 |
| Last Updated Date | 2015-01-28 |
Provider Mailing Address Detail
| Address | 5910 Hillandale Dr |
|---|---|
| City | Lithonia |
| State | Georgia (GA) |
| Post Code | 300581884 |
| Phone Number | 7709812090 |
| Fax Number | 7709817411 |
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 |
|---|---|---|---|
| 11D0995868 | 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 1962627158 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 address where Georgia Urology Pa is physically located?
The Georgia Urology Pa is situated at the following address: 5910 Hillandale Dr, Lithonia, GA 300581884.
What is Georgia Urology Pa's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Georgia Urology Pa's specialized field of practice is Urology, and the corresponding taxonomy code that categorizes this area of specialization is 208800000X.
On what date did the Georgia Urology Pa receive the assignment of its 1962627158 from the Centers for Medicare & Medicaid Services?
The Georgia Urology Pa was issued its 1962627158 by the Centers for Medicare & Medicaid Services on 2007-04-15.
As of what date were the Georgia Urology Pa's details last updated?
The information pertaining to the Georgia Urology Pa, including its address, specialty, and other details, was most recently updated on 2015-01-28.
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