Organization
CVS MINUTE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IVY AKUA FENIN APRN (FNP)
(678) 577-9287
Entity
Organization
Contact information
Practice address
101 LEXINGTON CIR, PEACHTREE CITY, GA 30269-6845
(770) 486-1639
Mailing address
563 GREYHAWK WAY, FAIRBURN, GA 30213-4618
(678) 577-9287
(770) 774-9837
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN185101
GA
Other
Enumeration date
04/22/2016
Last updated
04/22/2016
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