Organization
GEORGIA UROLOGY, PA
Active
Parent organization
GEORGIA UROLOGY, PA
Other names
Georgia Urology Decatur ASC
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
1670 SCOTT BLVD STE 204K, DECATUR, GA 30033-5645
(678) 284-4040
Mailing address
1930 BRANNAN RD, MCDONOUGH, GA 30253-4310
(678) 284-4686
(678) 284-4078
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
07/22/2019
Last updated
05/05/2026
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