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Dahlonega Urology Center
Specialist in Dahlonega, Georgia
NPI 1700985272

Dahlonega Urology Center is a Specialist based in Dahlonega, GA. Dahlonega Urology Center practices in Dahlonega, GA. The NPI Number for Dahlonega Urology Center is 1700985272 and holds a License No. 054175 (Georgia).

The current practice location address for Dahlonega Urology Center is 39 Wild Ridge Ln, Dahlonega, GA and can be reached out via phone at 518-497-6898 and via fax at 518-497-6903.

Location: 39 Wild Ridge Ln, Dahlonega, GA, 30533-0007
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1700985272
Provider Name
Dahlonega Urology Center
Credential
Provider Entity Type
Organization
Address
39 Wild Ridge Ln, Dahlonega, GA, 30533-0007
Phone Number
518-497-6898
Fax Number
518-497-6903
Provider Enumeration Date
09/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
054175 01 GA GEORGIA MEDICAL LICENSE
1942315635 01 GA NPI NUMBER
824346200A 05 GA
institution
Provider Business Practice Location Address Details
Address
39 Wild Ridge Ln
City
Dahlonega
State
Georgia
Zip
30533-9109
Phone Number
518-497-6898
Fax Number
518-497-6903
person
Provider Business Mailing Address Details
Address
39 Wild Ridge Ln
City
Dahlonega
State
Georgia
Zip
30533-9109
Phone Number
518-497-6898
Fax Number
518-497-6903
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
054175 (Georgia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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