| NPI | 1003428590 |
|---|---|
| Other Name | FORSYTH PROCEDURE ROOM |
| Entity Type | Organization |
| Authorized Contact | MARK A HABER Managing Partner 678-284-4040 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208800000X Urology |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2020-08-18 |