| NPI | 1215703046 |
|---|---|
| Doing Business As | CENTRAL GEORGIA UROLOGY |
| Entity Type | Organization |
| Authorized Contact | ERICH GRAHAM RANDOLPH Authorized Official 404-234-6473 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208800000X Urology |
| Enumeration Date | 2023-12-04 |
| Last Update Date | 2025-12-03 |