Individual
SALLIE ELANE FITZPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
345 N HARRIS ST, ATHENS, GA 30601-2411
(706) 552-4594
Mailing address
345 N HARRIS ST, ATHENS, GA 30601-2411
(706) 552-4594
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN203607
GA
363LW0102X
Women's Health Nurse Practitioner
Primary
RN203607
GA
Other
Enumeration date
07/31/2014
Last updated
07/31/2014
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