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ANTONIA LANETTE GREEN-FUQUA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
17157 HUNTSVILLE BROWNSFERRY RD, ATHENS, AL 35611-6014
(256) 348-1382
Mailing address
17157 HUNTSVILLE BROWNSFERRY RD, ATHENS, AL 35611-6014
(256) 348-1382

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
1-100637
AL

Other

Enumeration date
09/20/2024
Last updated
09/30/2024
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