Individual
JONIE D FAWLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4500 N SHALLOWFORD RD, DUNWOODY, GA 30338-6476
(404) 778-6920
Mailing address
4500 N SHALLOWFORD RD, DUNWOODY, GA 30338-6476
(404) 778-6920
(404) 778-6901
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6484
GA
Other
Enumeration date
04/27/2006
Last updated
12/06/2015
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