Individual
FIANNA FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1336 HIGHWAY 54 W BLDG 500, FAYETTEVILLE, GA 30214-4574
(770) 461-1238
Mailing address
1336 HIGHWAY 54 W BLDG 500, FAYETTEVILLE, GA 30214-4574
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13451
GA
Other
Enumeration date
09/16/2025
Last updated
10/10/2025
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