Atlanta Metro Urology Clinics Pc

LBN: Atlanta Metro Urology Clinics Pc
Atlanta Metro Urology Clinics Pc is an health care organization with primary practice located at 1275 Highway 54 W Suite 205, Fayetteville GA 30214-4549. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as the primary health care specialty. Atlanta Metro Urology Clinics Pc can be contacted via phone (770) 716-9656, or through Duralde, Fernando A via phone (770) 716-9656.

Contact Information

Primary practice address
1275 Highway 54 W Suite 205 Fayetteville GA 30214-4549
Fax: (770) 716-1609
Website:
Authorized official contact:
Name: Duralde, Fernando A Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X

Profile Details

NPI number 1811084759
LBN Legal business name Atlanta Metro Urology Clinics Pc
DBA Doing business as
Authorized official Duralde, Fernando A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 10th, 2006
Last updated Mar 13th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811084759 NPPES
Georgia Other CN9719 RAILROAD MEDICARE
Georgia MEDICAID 55002145A RAILROAD MEDICARE

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