| 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 |