Individual
MRS. CARLINE A FENELUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6600 VAN AALST BLVD, FORT MOORE, GA 31905-2102
(706) 544-8830
(762) 408-8169
Mailing address
12493 HUNTINGTON TRACE LN, ALPHARETTA, GA 30005-8799
(678) 242-0332
(678) 242-0332
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004624
GA
363A00000X
Physician Assistant
005311-01
NY
Other
Enumeration date
09/28/2006
Last updated
01/28/2025
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