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Contact Information

NORTH GEORGIA UROLOGY CENTER, PC, INC
1434 BROADRICK DRIVE
NORTH GEORGIA UROLOGY CENTER
DALTON, GA30720
 Phone: 706-278-5961
 Fax: 706-275-0280
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for NORTH GEORGIA UROLOGY CENTER PC INC · (Female)

NPI Number 1861413197
Status Active
Credentials
Entity Individual
Enumeration date 07/21/2006
Last updated 10/04/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • GA License # 050482
  • GA Medicaid 00931312A
  • GA Medicaid 429126502A
  • GA Medicaid 8913681
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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