Georgia Urology Pa

LBN: Georgia Urology Pa
Georgia Urology Pa 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 / Pediatric Urology, which is considered as the primary health care specialty. Georgia Urology Pa can be contacted via phone (770) 716-9656, or through Haber, Mark A via phone (678) 284-4049.

Contact Information

Primary practice address
1275 Highway 54 W Suite 205 Fayetteville GA 30214-4549
Phone: (770) 716-9656
Fax: (770) 716-1609
Website:
Map and Directions
Authorized official contact:
Name: Haber, Mark A Doctor of Medicine (MD)
Phone: (678) 284-4049

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Urology 2088P0231X

Profile Details

NPI number 1881932010
LBN Legal business name Georgia Urology Pa
DBA Doing business as
Authorized official Haber, Mark A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 23rd, 2013
Last updated Jan 28th, 2015 - about 10 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 1881932010 NPPES
Georgia Other 11D0704402 CLIA

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