Individual
MRS. ELENA VICTORIA FERCILIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1361 JENNINGS MILL RD STE 201, WATKINSVILLE, GA 30677-7292
(706) 316-1908
(706) 316-2062
Mailing address
1361 JENNINGS MILL RD STE 201, WATKINSVILLE, GA 30677-7292
(706) 316-1908
(706) 316-2062
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
9277
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00958625A
—
GA
Enumeration date
10/29/2018
Last updated
10/10/2022
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