Organization
GEORGIA UROLOGY, PA
Active
Parent organization
GEORGIA UROLOGY, PA
Other names
Forsyth Procedure Room
Organization subpart
Yes
Provider details
NPI number
Legal business name
GEORGIA UROLOGY, PA
Authorized official
DAN FELLNER (CEO)
(678) 205-8360
Entity
Organization
Contact information
Practice address
4150 DEPUTY BILL CANTRELL MEMORIAL RD., SUITE 140A, CUMMING, GA 30040
(770) 889-9737
Mailing address
1930 BRANNAN RD, MCDONOUGH, GA 30253-4310
(678) 284-4040
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
08/18/2020
Last updated
05/06/2026
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