Organization
GEORGIA UROLOGY PIEDMONT, LLC
Active
Parent organization
GEORGIA UROLOGY, PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
GEORGIA UROLOGY, PA
Authorized official
LACY WILLIAMS (MANAGER)
(678) 284-4040
Entity
Organization
Contact information
Practice address
1301 SIGMAN RD NE STE 250A, CONYERS, GA 30012-3812
(770) 760-9900
Mailing address
1930 BRANNAN RD, MCDONOUGH, GA 30253-4310
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
04/20/2020
Last updated
04/20/2020
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