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Organization

GEORGIA UROLOGY PA

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) 205-8360
Entity
Organization

Contact information

Practice address
3790 PLEASANT HILL RD, SUITE 150, DULUTH, GA 30096-1407
(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
208800000X
Urology Physician
Primary

Other

Enumeration date
04/15/2007
Last updated
05/06/2026
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