Individual
FATIN JWEINAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1430 JOHN WESLEY GILBERT DRIVE, AUGUSTA, GA 30912-0001
(706) 721-2813
Mailing address
455 LINDSEY CT, COMMERCE, GA 30529-1149
(615) 397-7109
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN015876
GA
Other
Enumeration date
03/28/2019
Last updated
08/30/2024
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