Organization
UROLOGICAL PROFESSIONAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE J. HERNANDEZ (VP-ADMIN, CCO)
(404) 851-6378
Entity
Organization
Contact information
Practice address
1000 JOHNSON FY RD NE, ATLANTA, GA 30342-1606
(855) 709-4535
Mailing address
1000 JOHNSON FY RD NE, ATLANTA, GA 30342-1606
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
05/28/2014
Last updated
01/11/2023
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