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Organization

GEORGIA UROLOGY, PA

Active
Other names
GA Urology ASC Canton
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 230, CANTON, GA 30114-2852
(770) 720-7246
Mailing address
1930 BRANNAN RD, MCDONOUGH, GA 30253-4310

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Enumeration date
03/03/2022
Last updated
05/05/2026
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