Organization
GEORGIA UROLOGY PEDIATRIC LLC
Active
Organization
GEORGIA UROLOGY PEDIATRIC LLC
Active
Parent organization
GEORGIA UROLOGY, PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
GEORGIA UROLOGY, PA
Authorized official
DR. MARK A HABER MD (MANAGING PARTNER)
(678) 284-4049
Entity
Organization
Contact information
Practice address
5445 MERIDIAN MARKS RD NE, SUITE 420, ATLANTA, GA 30342-4763
(404) 252-5206
(404) 252-1268
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
—
GA
Other
Enumeration date
07/22/2006
Last updated
01/20/2015
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