National Provider Identifier Database

DECATUR UROLOGY SURGERY CENTER
Ambulatory Surgical


Contact Information

DECATUR UROLOGY SURGERY CENTER
2711 IRVIN WAY STE 101
DECATUR, GA30030
Phone: 678-344-8900
Fax: 678-666-5201
Website:
Specialty Taxonomy Code
* Ambulatory Surgical 261QA1903X

* Indicates primary specialty

NPI Profile & details for DECATUR UROLOGY SURGERY CENTER

NPI Number 1194255372
Legal business name
LBN
DECATUR UROLOGY SURGERY CENTER
Authorized official BEEMAL SHAH - (CEO)
Entity Organization
Organization subpart No
Enumeration date 06/19/2017
Last updated 01/07/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers n/a

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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