Organization
ATLANTA COSMETIC UROLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARIQ HAKKY MD (OWNER)
(404) 400-3120
Entity
Organization
Contact information
Practice address
371 E PACES FERRY ROAD, SUITE 550, ATLANTA, GA 30305-3292
(404) 400-3120
Mailing address
371 E PACES FERRY ROAD, SUITE 550, ATLANTA, GA 30305-3292
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
05/06/2019
Last updated
05/06/2019
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