Individual
LAUREN M FENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
105 FISCHER MARKETPLACE LN # 100, SHARPSBURG, GA 30277-3680
(678) 633-3260
Mailing address
6000 HILLANDALE DR, LITHONIA, GA 30058-4858
(470) 268-2875
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10689
GA
Other
Enumeration date
11/30/2021
Last updated
04/03/2025
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