Urology Specialists Of Atlanta, Llc

LBN: Urology Specialists Of Atlanta, Llc
Urology Specialists Of Atlanta, Llc is an health care organization with primary practice located at 5673 Peachtree Dunwoody Rd Ne Suite 910, Atlanta GA 30342-1731. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as the primary health care specialty. Urology Specialists Of Atlanta, Llc can be contacted via phone (404) 255-3822, or through Green, Bruce Gary via phone (404) 255-3822.

Contact Information

Primary practice address
5673 Peachtree Dunwoody Rd Ne Suite 910 Atlanta GA 30342-1731
Fax: (404) 255-0495
Website:
Authorized official contact:
Name: Green, Bruce Gary Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X BL02-00533 Georgia
Allopathic & Osteopathic Physicians / Urology 208800000X

Profile Details

NPI number 1356350425
LBN Legal business name Urology Specialists Of Atlanta, Llc
DBA Doing business as
Authorized official Green, Bruce Gary Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 6th, 2006
Last updated Nov 17th, 2010 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1356350425 NPPES
Georgia Other GRP7474 MEDICARE PTAN

Popular Providers