Organization
GEORGIA UROLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAN FELLNER (CEO)
(678) 205-8360
Entity
Organization
Contact information
Practice address
6000 HILLANDALE DR STE 110, LITHONIA, GA 30058-4858
(678) 205-8455
(678) 284-4078
Mailing address
1930 BRANNAN RD, MCDONOUGH, GA 30253-4310
(678) 284-4049
(678) 284-4078
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
04/11/2019
Last updated
05/06/2026
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