Organization
NORTH FULTON UROLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUDY R BRUNI (PRACTICE MANAGER)
(770) 475-7550
Entity
Organization
Contact information
Practice address
1357 HEMBREE ROAD, SUITE 250, ROSWELL, GA 30076
(770) 475-7550
(770) 343-9080
Mailing address
1357 HEMBREE RD, SUITE 250, ROSWELL, GA 30076-5722
(770) 475-7550
(770) 343-9080
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CL8520
RRMCARE
GA
Enumeration date
09/13/2006
Last updated
04/09/2008
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