Organization
GEORGIA UROLOGY, PA
Active
Parent organization
GEORGIA UROLOGY PA
Other names
Georgia Urology ASC Gwinnett
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
850 LAWRENCEVILLE SUWANEE RD STE 100, LAWRENCEVILLE, GA 30043-5483
(770) 979-9427
(770) 972-3846
Mailing address
1930 BRANNAN RD, MCDONOUGH, GA 30253-4310
(678) 284-4040
(678) 284-4076
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
01/07/2009
Last updated
05/05/2026
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