Organization
GEORGIA UROLOGY, PA
Active
Other names
Canton Office at Liberty Blvd
Organization subpart
No
Provider details
NPI number
Authorized official
DAN FELLNER (CEO)
(678) 205-8360
Entity
Organization
Contact information
Practice address
100 LIBERTY BLVD STE 240, CANTON, GA 30114-2852
(770) 720-7246
Mailing address
1930 BRANNAN RD, MCDONOUGH, GA 30253-4310
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
03/16/2022
Last updated
05/06/2026
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