Organization
GEORGIA UROLOGY AMBULATORY SURGERY CENTER SMYRNA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL S FELLNER (CHIEF EXECUTIVE OFFICER)
(678) 205-8360
Entity
Organization
Contact information
Practice address
4298 ATLANTA RD SE, SMYRNA, GA 30080-6433
(770) 429-9100
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
08/25/2025
Last updated
08/25/2025
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