Organization
ADVANCED UROLOGY ANESTHESIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JITESH V PATEL MD (PRESIDENT)
(678) 344-8900
Entity
Organization
Contact information
Practice address
10730 MEDLOCK BRIDGE RD, JOHNS CREEK, GA 30097-1705
(678) 344-8900
(678) 666-5201
Mailing address
PO BOX 1722, COLUMBUS, GA 31902-1722
(678) 344-8900
(678) 666-5201
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
07/25/2016
Last updated
12/23/2020
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