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Contact Information

GEORGIA UROLOGY NORTHEAST LLC
1223 FRIENDSHIP RD.
BLDG. 400, SUITE 100
BRASELTON, GA30517
 Phone: 678-205-8387
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for GEORGIA UROLOGY NORTHEAST LLC

NPI Number 1205643897
LBN Legal business name GEORGIA UROLOGY NORTHEAST LLC
Authorized official DAN FELLNER - (CEO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 12/17/2024
Last updated 05/06/2026 - About a month ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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