Organization
UROLOGY ASSOCIATES SURGICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA ROBERSON (CREDENTIALING)
(770) 428-4475
Entity
Organization
Contact information
Practice address
300 TOWER RD, SUITE 150, MARIETTA, GA 30060
(678) 594-0070
(678) 594-0073
Mailing address
55 WHITCHER STREET, SUITE 250, MARIETTA, GA 30060
(770) 428-4475
(770) 426-1499
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
11C0001268
GA
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
033-314
GA
Other
Enumeration date
11/01/2006
Last updated
05/22/2013
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