Organization
GEORGIA UROLOGY PEDIATRIC LLC
Active
Organization
GEORGIA UROLOGY PEDIATRIC LLC
Active
Parent organization
GEORGIA UROLOGY
Other names
Georgia Urology
Organization subpart
Yes
Provider details
NPI number
Legal business name
GEORGIA UROLOGY
Authorized official
DR. MARK A HABER M.D. (MANAGING PARTNER)
(678) 284-4040
Entity
Organization
Contact information
Practice address
5730 GLENRIDGE DR, STE 200, ATLANTA, GA 30328-6141
(404) 256-1844
(404) 252-5642
Mailing address
1930 BRANNAN RD, MCDONOUGH, GA 30253-4310
(678) 284-4040
(678) 284-4076
Taxonomy
Speciality
Code
Description
License number
State
2088P0231X
Pediatric Urology Physician
Primary
—
—
Other
Enumeration date
02/17/2016
Last updated
02/17/2016
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