Organization
GEORGIA UROLOGY, PA
Active
Parent organization
GEORGIA UROLOGY, PA
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
1315 JESSE JEWELL PKWY NE STE 201, GAINESVILLE, GA 30501-3811
(770) 219-8765
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
10/07/2024
Last updated
05/06/2026
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