Georgia Urology Asc Cumming
Clinic/Center, Ambulatory Surgical in Cumming, GA. Organization (NPI-2).
NPI number1780199356
StatusActive
Last updated in NPPESMay 5, 2026
Details
- NPI
- 1780199356
- Entity type
- Organization (NPI-2)
- Legal business name
- Georgia Urology Asc Cumming
- Organization subpart
- Yes
- Enumeration date
- Dec 5, 2017
- Certification date
- May 5, 2026
- Last updated
- May 5, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA1903X | Clinic/Center, Ambulatory Surgical | – | – | Yes |
Practice location
4150 Deputy Bill Cantrell Memorial RoadSuite 140a
Cumming, GA 30040
Phone 770-889-9737
Mailing address
1930 Brannan RdMcDonough, GA 30253-4310
Authorized official
Dan Fellner
Ceo
6782058360
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All 16 Ambulatory Surgical Clinic/Center providers in Cumming · All 3,228 providers in Cumming
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