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FEDLANDE FERJUSTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PAC

Contact information

Practice address
1000 JOHNSON FERRY RD, ATLANTA, GA 30342
(404) 851-6323
(404) 303-3747
Mailing address
5775 GLENRIDGE DR, B525, ATLANTA, GA 30328
(678) 553-7783
(678) 553-7793

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
007673
GA
363A00000X
Physician Assistant
MA052131
PW

Other

Enumeration date
02/01/2006
Last updated
01/06/2020
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