Individual
BRENDA FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
523 DIXIE ST, SUITE 3, CARROLLTON, GA 30117-3870
(770) 838-5828
Mailing address
523 DIXIE ST, SUITE 3, CARROLLTON, GA 30117-3870
(770) 838-5828
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
D29480
GA
Other
Enumeration date
07/25/2006
Last updated
01/09/2008
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