NPI | 1699328369 |
---|---|
Doing Business As | GEORGIA UROLOGY DECATUR ASC |
Entity Type | Organization |
Authorized Contact | MARK A HABER Managing Partner 678-284-4040 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2019-07-22 |
Last Update Date | 2019-07-22 |