Individual
FENIA J PHILEMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3590 COBB PKWY NW STE 401, ACWORTH, GA 30101-4016
(678) 492-8230
Mailing address
101 CHASE AVE, LAKEWOOD, NJ 08701-4760
(212) 201-1252
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
RN155547
GA
363LA2200X
Adult Health Nurse Practitioner
Primary
RN155547
GA
Other
Enumeration date
05/25/2018
Last updated
07/24/2024
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