Organization
GEORGIA REGIONAL UROLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID L PERLOW MD (MEDICAL DOCTOR)
(770) 951-0866
Entity
Organization
Contact information
Practice address
2520 WINDY HILL RD SE, SUITE 305, MARIETTA, GA 30067-8664
(770) 951-0866
(770) 951-1688
Mailing address
2520 WINDY HILL RD SE, SUITE 305, MARIETTA, GA 30067-8664
(770) 951-0866
(770) 951-1688
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0621780001
DMERC
GA
01
—
7280346
AETNA
GA
01
—
CL8362
RAILROAD MEDICARE
GA
Enumeration date
01/16/2007
Last updated
12/30/2009
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