OrganizationActive
Georgia Urology PA
NPI 1881932010 · Pediatric Urology Physician · Fayetteville, GA
Provider details
- NPI number
- 1881932010
- Entity type
- Organization
- Primary specialty
- Pediatric Urology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Georgia Urology PA
- Authorized official
- Dan Fellner, Ceo
Practice location
1275 Highway 54 W
Suite 205
Fayetteville, GA 30214-4549
Phone: (770) 716-9656
Fax: (770) 716-1609
Mailing address
1930 Brannan Rd
Mcdonough, GA 30253-4310
Registry dates
- Enumerated
- 2013-01-23
- Last updated
- 2026-05-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.