Organization · Type 2 NPI

Georgia Urology Northeast LLC

Urology Physician · Braselton, GA

NPI number 1205643897 Active

Practice location

1223 Friendship Rd., Bldg. 400, Suite 100
Braselton, GA 30517

Mailing address

1930 Brannan Rd
Mcdonough, GA 30253-4310

Specialties and licenses

TaxonomyCodeLicense
Urology Physician Primary 208800000XNone listed

Urology Physician: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

5 other providers at this address

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About NPI 1205643897

Georgia Urology Northeast LLC's National Provider Identifier is 1205643897, issued on Dec 17, 2024. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in Braselton, GA. The record was last updated on May 6, 2026.