Georgia Regional Urology PC
Urology in Marietta, GA. Organization (NPI-2).
NPI number1558412502
StatusActive
Last updated in NPPESDec 30, 2009
Details
- NPI
- 1558412502
- Entity type
- Organization (NPI-2)
- Legal business name
- Georgia Regional Urology PC
- Organization subpart
- No
- Enumeration date
- Jan 16, 2007
- Last updated
- Dec 30, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208800000X | Urology | – | GA | Yes |
Practice location
2520 Windy Hill Rd SeSuite 305
Marietta, GA 30067-8664
Phone 770-951-0866 · Fax 770-951-1688
Mailing address
2520 Windy Hill Rd SeSuite 305
Marietta, GA 30067-8664
Phone 770-951-0866 · Fax 770-951-1688
Authorized official
David L Perlow
Medical Doctor
7709510866
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