Dahlonega Urology Center
Organization Active NPI Specialist · Dahlonega, GA
NPI 1700985272 · NPPES record last updated Feb 14, 2009
Key facts
- NPI
- 1700985272
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- License
- 054175 (GA)
- Legal business name
- DAHLONEGA UROLOGY CENTER
- Practice address
- 39 Wild Ridge LN
Dahlonega, GA 30533-9109 - Phone
- (518) 497-6898
- Fax
- (518) 497-6903
- NPI assigned
- Sep 21, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Julio Manuel Ossorio, M.D.
- Title
- Urologist
- Phone
- (518) 497-6898
National Provider Directory
Locations
108 Mountain Dr
Ste B
Dahlonega, GA 30533
Phone (706) 864-3074
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | 054175 | GA | Yes |
Addresses
Primary practice location
39 Wild Ridge LN
Dahlonega, GA 30533-9109
Mailing address
PO Box 382
Dahlonega, GA 30533-0007
Phone (518) 497-6898
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 054175 | Other | GA | GEORGIA MEDICAL LICENSE |
| 1942315635 | Other | GA | NPI NUMBER |
| 824346200A | Medicaid | GA |
Other providers in Dahlonega, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.