Individual
MARY L FETTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6605 ABERCORN ST, ST 108, SAVANNAH, GA 31405-5815
(912) 354-5357
Mailing address
804 SCOTT NIXON MEMORIAL DR, AUGUSTA, GA 30907-2464
(800) 394-4445
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN047278
GA
Other
Enumeration date
02/26/2007
Last updated
02/11/2008
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