Organization
UROLOGY CENTER OF GEORGIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH A SON MD (MEDICAL DIRECTOR)
(478) 755-0354
Entity
Organization
Contact information
Practice address
1870 HARDEMAN AVE, MACON, GA 31201-1161
(478) 755-0354
(478) 755-9866
Mailing address
1870 HARDEMAN AVE, MACON, GA 31201-1161
(478) 755-0354
(478) 755-9866
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
043782
GA
Other
Enumeration date
07/02/2006
Last updated
08/22/2020
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