Organization
MIDTOWN UROLOGY SURGICAL CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES KENT BENNETT M.D. (PRESIDENT)
(404) 881-0966
Entity
Organization
Contact information
Practice address
1924 PIEDMONT RD NE, ATLANTA, GA 30324-4117
(404) 881-0966
(404) 874-5902
Mailing address
1924 PIEDMONT RD NE, ATLANTA, GA 30324-4117
(404) 881-0966
(404) 874-5902
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000659821A
—
GA
Enumeration date
05/25/2006
Last updated
07/21/2022
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