Patient Notebook

Surgical Center for Urology

290 Country Club Dr

STE 240

Stockbridge, GA 30281

Phone: (770) 474 - 5281

Fax: (770) 389 - 8674

Email: billing@ugatl.com

Website: www.ugatl.com/contents/about/surgery-center

Make a Payment

Need to make a payment? Please fill out the information below and hit continue.

Error Summary

Please, correctly fill out all required fields.

1. Patient Information

First Name *

M.I.

Last Name *

Account Number *

Email Address

A receipt will be sent to this email address.

2. Payment Amount

Amount

3. Payment Method

Credit/Debit Card

Bank Account

Name on Card *

Card Number *

Expiration Date *

Security Code *

Zip Code *

Cancel

P (770) 474 - 5281

F (770) 389 - 8674

W www.ugatl.com/contents/about/surgery-center

290 Country Club Dr STE 240

Stockbridge, GA 30281