Organization
GAINESVILLE UROLOGY ASC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE THOMPSON (BUSINESS OFFICE MANAGER)
(770) 287-1299
Entity
Organization
Contact information
Practice address
1240 JESSE JEWELL PKWY SE, SUITE 250, GAINESVILLE, GA 30501-3862
(770) 287-1299
Mailing address
1240 JESSE JEWELL PKWY SE, SUITE 250, GAINESVILLE, GA 30501-3862
(770) 287-1299
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
069-265
GA
Other
Enumeration date
08/11/2006
Last updated
06/23/2010
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