NPI | 1639499627 |
---|---|
Other Name | GEORGIA UROLOGY ASC MARIETTA |
Entity Type | Organization |
Authorized Contact | DAN FELLNER CEO 678-284-4040 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2010-06-02 |
Last Update Date | 2025-09-02 |