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Contact Information

GEORGIA UROLOGY NORTHEAST LLC
1223 FRIENDSHIP RD.
BLDG. 400, SUITE 100
BRASELTON, GA30517
 Phone: 678-205-8387
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for GEORGIA UROLOGY NORTHEAST LLC · (Female)

NPI Number 1205643897
Status Active
Credentials
Entity Individual
Enumeration date 12/17/2024
Last updated 05/06/2026 - About a month ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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