Organization
BRENDA FITZGERALD M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENDA C. FITZGERALD M.D. (PHYSICIAN)
(770) 838-5828
Entity
Organization
Contact information
Practice address
523 DIXIE ST, STE 3, CARROLLTON, GA 30117-3870
(770) 838-5828
(770) 838-5831
Mailing address
523 DIXIE ST, STE 3, CARROLLTON, GA 30117-3870
(770) 838-5828
(770) 838-5831
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
D29480
GA
Other
Enumeration date
09/10/2008
Last updated
09/10/2008
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