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Georgia Urology Pa
Pediatric Urology Physician in Fayetteville, Georgia
NPI 1881932010

Georgia Urology Pa is a Pediatric Urology Physician based in Mcdonough, GA and is specialized in Pediatric Urology. Georgia Urology Pa practices in Fayetteville, GA. The NPI Number for Georgia Urology Pa is 1881932010 and holds a License No. (Georgia).

The current practice location address for Georgia Urology Pa is 1275 Highway 54 W, Fayetteville, GA and can be reached out via phone at 770-716-9656 and via fax at 770-716-1609. You can also correspond with Georgia Urology Pa through the mailing address at 1930 BRANNAN RD, MCDONOUGH, GA - 30253-4310 (mailing address contact number: 678-284-4040).

Location: 1275 Highway 54 W, Fayetteville, GA, 30253-4310
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1881932010
Provider Name
Georgia Urology Pa
Credential
Provider Entity Type
Organization
Address
1275 Highway 54 W, Fayetteville, GA, 30253-4310
Phone Number
770-716-9656
Fax Number
770-716-1609
Provider Enumeration Date
01/23/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11D0704402 01 GA CLIA
institution
Provider Business Practice Location Address Details
Address
1275 Highway 54 W
City
Fayetteville
State
Georgia
Zip
30214-4549
Phone Number
770-716-9656
Fax Number
770-716-1609
person
Provider Business Mailing Address Details
Address
1275 Highway 54 W
City
Fayetteville
State
Georgia
Zip
30214-4549
Phone Number
770-716-9656
Fax Number
770-716-1609
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
Pediatric Urology
Taxonomy
2088P0231X
License No.
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Definition
Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).
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