NPI 1861413197
North Georgia Urology Center, PC, INC
Practice location
- Address
- 1434 Broadrick Drive North Georgia Urology Center, Dalton, GA 30720
- Phone
- (706) 278-5961
- Fax
- (706) 275-0280
- Mailing address
- 1434 Broadrick Drive, Dalton, GA 30720-3009
Authorised official
- Name
- Clista Tallent
- Title
- Practice Manager
- Phone
- (706) 278-5961
Registered specialties
Urology Physician
Primary
Registry record
- NPI
- 1861413197
- Entity type
- Organization
- NPI issued
- 21 Jul 2006
- Record last updated
- 4 Oct 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.