Individual
FILDIN JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2795 MAIN ST W, SNELLVILLE, GA 30078-3164
(678) 344-7836
Mailing address
3071 N SHARON CHURCH RD, LOGANVILLE, GA 30052-5261
(305) 215-0269
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/16/2019
Last updated
10/16/2019
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