Individual
CAROLINE LEIGH FENLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
777 HEMLOCK ST, MACON, GA 31201-2102
(478) 633-6706
Mailing address
598 3RD ST, MACON, GA 31201-3357
(478) 633-1891
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
003034
GA
Other
Enumeration date
06/30/2008
Last updated
06/30/2008
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