Georgia Urology Northeast LLC

NPI #1205643897 in Braselton, Georgia

Provider Information

NPI Number: 1205643897
Entity Type: Organization
Organization Name: Georgia Urology Northeast LLC
Subpart: Yes (part of a larger organization)
Parent Organization: GEORGIA UROLOGY, PA
Primary Specialty: Urology
Enumeration Date: Dec 17, 2024
Last Updated: Dec 17, 2024

Practice Location

Address: 1223 FRIENDSHIP RD.
Address 2: BLDG. 400, SUITE 100
City: Braselton
State: Georgia
ZIP Code: 30517
Phone: (678) 205-8387

Authorized Official

Name: DAN FELLNER
Title: CEO
Phone: (678) 284-4040

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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Organizations

Provider Name	Specialty	City
Georgia Urology, PA Part of Georgia Urology, PA	Urology	Braselton	AI Deep Dive
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