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SOUTH ATLANTA UROLOGY & GYNECOLOGY ASSOCIATES PC NPI 1811377815


NPI Information

NPI: 1811377815
Provider Name: SOUTH ATLANTA UROLOGY & GYNECOLOGY ASSOCIATES PC
Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 11D1043238

Address:
5400 LAUREL SPRINGS PKWY
SUITE 1403
SUWANEE, GA
ZIP 30024
Phone: (678) 904-5211
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SOUTH ATLANTA UROLOGY & GYNECOLOGY ASSOCIATES PC is an urology in Suwanee, GA. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. SOUTH ATLANTA UROLOGY & GYNECOLOGY ASSOCIATES PC NPI is 1811377815. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5400 LAUREL SPRINGS PKWY
SUITE 1403
SUWANEE, GA
ZIP 30024-056
Phone: (678) 904-5211
Fax: (678) 904-5212

The provider's authorized official is Marjorie A Campbell .
The authorized official title is Billing Manager and has the following contact phone number (800) 208-6324.

The CLIA number assigned to this NPI record is 11D1043238 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/4/2015 and was last updated on 12/19/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208800000XUrology054434GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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