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Georgia Urology PA

Urology in Marietta, GA. Organization (NPI-2).

NPI number1447772348
StatusActive
Last updated in NPPESMay 6, 2026

Details

NPI
1447772348
Entity type
Organization (NPI-2)
Legal business name
Georgia Urology PA
Organization subpart
Yes
Enumeration date
Jul 12, 2017
Certification date
May 6, 2026
Last updated
May 6, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208800000X Urology––Yes

Practice location

4800 Olde Towne Pkwy Ste 220
Marietta, GA 30068-4391

Phone 404-256-1844

Mailing address

1930 Brannan Rd
Mcdonough, GA 30253-4310

Authorized official

Dan Fellner
Ceo
6782058360

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