NPI Provider: 1740367457
Contact Name: Bennett N Phillip
Position: Administrator
Phone: (770) 428-3995
Urology Enterprises, Pc Information:
Urology Enterprises, Pc organization have npi 1740367457, taxonomy code is 208800000X with license number is in . This Business address located in 55 Whitcher St NE Ste 250, Marietta, GA 30060 Georgia.
Practice Location
Address: 55 Whitcher St NE Ste 250, Marietta, GA 30060
Phone: (770) 428-4475
Business Location
Address: 55 Whitcher St NE Ste 250, Marietta, GA 30060
Phone: (770) 428-4475
Taxonomy
Taxonomy Code: 208800000X
License Number:
License Number of State: GA
Primary Taxonomy Switch: Y
Enumeration Date: 11/1/2006
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