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Individual
DR. JAMES LEWIS FENLEY JR.
Active
Individual
DR. JAMES LEWIS FENLEY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME127760
FL
207RA0401X
Addiction Medicine (Internal Medicine) Physician
034584
GA
207RA0401X
Addiction Medicine (Internal Medicine) Physician
ME127760
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
055002903A
—
GA
01
—
11BDLZQ
MEDICARE UNSPEC
GA
Enumeration date
05/17/2006
Last updated
08/08/2018
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