NPI 1104294743

Georgia Urology PA

Organisation Urology Physician Atlanta, GA

Practice location

Address: 5730 Glenridge Dr STE 200, Atlanta, GA 30328-5579
Phone: (404) 256-1844
Fax: (404) 252-5642
Mailing address: 1930 Brannan Rd, McDonough, GA 30253-4310

Authorised official

Name: Dan Fellner
Title: Ceo
Phone: (678) 205-8360

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X

Other Urology providers in Georgia →

Registry record

NPI: 1104294743
Entity type: Organization
NPI issued: 14 Sep 2015
Record last updated: 6 May 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.