Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Georgia Urology Pediatric LLC

Organization Pediatric Urology Physician · NPI 1770942856

Georgia Urology Pediatric LLC provides Pediatric Urology Physician services in Atlanta, Georgia. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5730 Glenridge Dr Ste 200
Atlanta, GA 30328-6141 Not confirmed with CMS for 10 years — call before visiting
Phone: (404) 256-1844
Fax: (404) 252-5642
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Urology Physician (primary) Taxonomy 2088P0231X

Record details

NPI number1770942856
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationGeorgia Urology
Authorized official Mark Haber — Managing Partner · (678) 284-4040
Other names Georgia Urology
NPI enumeratedFebruary 17, 2016
Last updated in NPPESFebruary 17, 2016
Mailing address1930 Brannan Rd, McDonough, GA 30253-4310

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