Organization
DECATUR UROLOGY SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEEMAL SHAH (CEO)
(706) 951-8657
Entity
Organization
Contact information
Practice address
2711 IRVIN WAY STE 101, DECATUR, GA 30030
(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
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
06/19/2017
Last updated
01/07/2025
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