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1265679674
GEORGIA UROLOGY FAYETTE ASC
FAYETTEVILLE, GA
NPI
1265679674
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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
2015-01-23
Business Address
GEORGIA UROLOGY FAYETTE ASC
140 CARNEGIE PL SUITE 108
FAYETTEVILLE, GA 30214-7913
Phone number: 770-460-9777
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Mailing Address
GEORGIA UROLOGY FAYETTE ASC
1930 BRANNAN RD
MCDONOUGH, GA 30253-4310
Phone number: 678-284-4040
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