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Organization

GEORGIA UROLOGY, PA

Active
Parent organization
GEORGIA UROLOGY, PA
Other names
GA Urology ASC Roswell
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
11835 ALPHARETTA HWY STE 100, ROSWELL, GA 30076-4929
(770) 475-7550
(770) 343-9080
Mailing address
11835 ALPHARETTA HWY STE 100, ROSWELL, GA 30076-4929
(770) 772-4427
(770) 772-4428

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Enumeration date
09/30/2015
Last updated
05/05/2026
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