Organization
ATHENS UROLOGICAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK A. ADAMS M.D. (UROLOGIST)
(706) 549-4999
Entity
Organization
Contact information
Practice address
957 BAXTER ST, ATHENS, GA 30606-3754
(706) 549-4999
(706) 549-0410
Mailing address
957 BAXTER ST, ATHENS, GA 30606-3754
(706) 549-4999
(706) 549-0410
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
048133
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00856193A
—
GA
Enumeration date
05/08/2006
Last updated
02/24/2010
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