Organization
GEORGIA UROLOGY PA
Active
Parent organization
GEORGIA UROLOGY PA
Other names
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
4150 DEPUTY BILL CANTRELL MEMORIAL ROAD, SUITE 140B, CUMMING, GA 30040
(770) 889-9737
Mailing address
1930 BRANNAN RD, MCDONOUGH, GA 30253-4310
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
12/05/2017
Last updated
05/06/2026
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