Organization · Type 2 NPI
Georgia Urology Fayette Asc
Ambulatory Surgical Clinic/Center · Fayetteville, GA
NPI number
1265679674
Active
Practice location
1336 Hwy 54W, Bldg 100, Suite 101
Fayetteville, GA 30214
Fax (770) 460-0650
Mailing address
1930 Brannan Rd
Mcdonough, GA 30253-4310
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | None listed |
Ambulatory Surgical Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1265679674
Georgia Urology Fayette Asc's National Provider Identifier is 1265679674, issued on Jan 7, 2009. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Fayetteville, GA. The record was last updated on May 5, 2026.