Organization
GEORGIA UROLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAN FELLNER (CEO)
(678) 205-8360
Entity
Organization
Contact information
Practice address
1670 SCOTT BLVD STE 204K, DECATUR, GA 30033-5645
(404) 292-3727
Mailing address
1930 BRANNAN RD, MCDONOUGH, GA 30253-4310
(678) 284-4040
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
09/26/2019
Last updated
05/06/2026
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