Organization
ADVANCED UROLOGY INSTITUTE OF GEORGIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEEMAL SHAH (CEO)
(706) 951-8657
Entity
Organization
Contact information
Practice address
1557 JANMAR RD, SNELLVILLE, GA 30078-5686
(678) 344-8900
(678) 666-5201
Mailing address
1551 JANMAR RD, SNELLVILLE, GA 30078-5606
(678) 344-8900
(678) 666-5201
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
65869
GA
Other
Enumeration date
09/21/2011
Last updated
01/02/2025
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