Organization
GEORGIA UROLOGY ASC CUMMING
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
4150 DEPUTY BILL CANTRELL MEMORIAL ROAD, SUITE 140A, CUMMING, GA 30040
(770) 889-9737
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
12/05/2017
Last updated
05/05/2026
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