Individual
EVANDER FLETCHER FOGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5671 PEACHTREE DUNWOODY RD NE, SUITE 900, ATLANTA, GA 30342-5000
(404) 847-9999
(404) 531-8466
Mailing address
5671 PEACHTREE DUNWOODY RD NE, SUITE 900, ATLANTA, GA 30342-5000
(404) 847-9999
(404) 531-8466
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
047747
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
848200493A
—
GA
05
—
848200493B
—
GA
Enumeration date
10/31/2005
Last updated
06/30/2016
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