Individual
FABIOLA FONTANA TRINDADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1459 LANEY WALKER BLVD, AUGUSTA, GA 30912-0002
(706) 721-7005
Mailing address
410 MATTHEW LN, MARTINEZ, GA 30907-3936
(706) 627-8588
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
17068
GA
Other
Enumeration date
02/25/2025
Last updated
03/03/2025
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