Organization
GEORGIA UROLOGY, PA
Active
Parent organization
GEORGIA UROLOGY, PA
Other names
Georgia Urology ASC Marietta
Organization subpart
Yes
Provider details
NPI number
Legal business name
GEORGIA UROLOGY, PA
Authorized official
DAN FELLNER (CEO)
(678) 284-4040
Entity
Organization
Contact information
Practice address
4298 ATLANTA RD. SE, SUITE 305, SMYRNA, GA 30080
(770) 429-9100
(770) 429-1391
Mailing address
1930 BRANNAN RD, MCDONOUGH, GA 30253-4310
(678) 284-4040
(678) 284-4076
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
06/02/2010
Last updated
09/02/2025
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