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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