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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
4298 ATLANTA RD. SE, SUITE 300, SMYRNA, GA 30080-3008
(770) 429-9100
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
03/28/2023
Last updated
05/06/2026
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