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Individual

MS. TAMMY J. FENTON-WARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
A.I. DUPONT HOSPITAL FOR CHILDREN, 1600 ROCKLAND ROAD, WILMINGTON, DE 19803-3607
(302) 651-4000
(302) 651-4945
Mailing address
NEMOURS CHILDRENS CLINIC, P.O. BOX 404112, ATLANTA, GA 30384-0001
(904) 390-3610
(904) 288-5890

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C50000221
DE
363AM0700X
Medical Physician Assistant
C50000221
DE

Other

Enumeration date
10/13/2006
Last updated
05/16/2008
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