Organization
METRO ATLANTA UROLOGY AND PELVIC HEALTH CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHENELLE WILSON MD (OWNER)
(404) 913-2891
Entity
Organization
Contact information
Practice address
1301 SHILOH RD NW STE 660, KENNESAW, GA 30144-7158
(404) 913-2891
(770) 648-2908
Mailing address
1179 STATE ST NW, ATLANTA, GA 30318-5331
(301) 367-2187
Taxonomy
Speciality
Code
Description
License number
State
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
Primary
—
—
Other
Enumeration date
01/12/2022
Last updated
01/12/2022
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