Organization
GEORGIA UROLOGY NORTHEAST LLC
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) 284-4040
Entity
Organization
Contact information
Practice address
1223 FRIENDSHIP RD., BLDG. 400, SUITE 100, BRASELTON, GA 30517
(678) 205-8387
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
12/17/2024
Last updated
05/06/2026
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