Atlanta Metro Urology Clinics PC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

ATLANTA METRO UROLOGY CLINICS PC

Practice address

1275 Highway 54 W
Suite 205
Fayetteville, GA 30214-4549

Phone

(770) 716-9656

Fax

(770) 716-1609

NPI assigned

Oct 10, 2006

Last updated

Mar 13, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Fernando A Duralde, M.D.NPI 1407856552

Title

President

Phone

(770) 716-9656

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Fernando A. Duralde, M.D.

  • Urology Physician
  • Fayetteville, GA
  • NPI 1407856552
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1811084759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 HIGHWAY 54 W",
            "address_2": "SUITE 205",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302144549",
            "telephone_number": "770-716-9656",
            "fax_number": "770-716-1609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 HIGHWAY 54 W",
            "address_2": "SUITE 205",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302144549",
            "telephone_number": "770-716-9656",
            "fax_number": "770-716-1609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA METRO UROLOGY CLINICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "DURALDE",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-716-9656",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Urology Physician in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Urology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.