| NPI | 1083851497 |
|---|---|
| Doing Business As | GEORGIA UROLOGY ASC GWINNETT |
| Entity Type | Organization |
| Authorized Contact | MARK A HABER Managing Partner 678-284-4049 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2024-03-05 |