MEDICARE: STEVEN L MORGANSTERN UROLOGY CLINIC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	020582	GA

General Provider Information

NPI Number	:	1346425238
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEVEN L MORGANSTERN UROLOGY CLINIC

Provider Business Mailing Address
First Line	:	3280 HOWELL MILL RD NW STE 217
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30327-4100
Country	:	US
Telephone Number	:	404-352-8220
Fax Number	:	404-351-2420

Provider Business Practice Location Address
First Line	:	3280 HOWELL MILL RD NW STE 217
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30327-4100
Country	:	US
Telephone Number	:	404-352-8220
Fax Number	:	404-351-2420

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MRS. MARGIE OGLETREE
Credential	:
Telephone Number	:	404-352-8220

Provider Enumeration Date	:	01/09/2008
Last Update Date	:	04/29/2008

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