| NPI | 1629222815 |
|---|---|
| Other Name | GEORGIA UROLOGY ASC CONYERS |
| 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 | 2008-11-14 |
| Last Update Date | 2019-01-14 |