National Provider Identifier Database

GEORGIA UROLOGY NORTHEAST LLC
Urology

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.


Contact Information

GEORGIA UROLOGY NORTHEAST LLC
1223 FRIENDSHIP RD.
BLDG. 400, SUITE 100
BRASELTON, GA30517
Phone: 678-205-8387
Fax:
Website:
Specialty Taxonomy Code
* Urology 208800000X

* Indicates primary specialty

NPI Profile & details for GEORGIA UROLOGY NORTHEAST LLC

NPI Number 1205643897
Legal business name
LBN
GEORGIA UROLOGY NORTHEAST LLC
Authorized official DAN FELLNER - (CEO)
Entity Organization
Organization subpart Yes
Enumeration date 12/17/2024
Last updated 05/06/2026 - About a month ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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