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Georgia Urology PA

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

NPI number1982829172
StatusActive
Last updated in NPPESMay 6, 2026

Details

NPI
1982829172
Entity type
Organization (NPI-2)
Legal business name
Georgia Urology PA
Organization subpart
Yes
Enumeration date
Apr 14, 2007
Certification date
May 6, 2026
Last updated
May 6, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208800000X Urology––Yes

Practice location

11835 Alpharetta Hwy Ste 100
Roswell, GA 30076-4929

Phone 770-475-7550

Mailing address

1930 Brannan Rd
McDonough, GA 30253-4310

Phone 678-284-4040 · Fax 678-284-4076

Authorized official

Dan Fellner
Ceo
6782058360

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