Individual
MARY ELLEN MIDDLETON FAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
49 JESSE HILL JR DR SE, ATLANTA, GA 30303-3049
(706) 414-2428
Mailing address
3101 BRANSFORD RD, AUGUSTA, GA 30909-3007
(706) 414-2428
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/22/2020
Last updated
03/22/2020
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