Individual
DEBBIE FEARON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
523 MOUNTAIN CHASE, CARTERSVILLE, GA 30120
(347) 584-7109
Mailing address
523 MOUNTAIN CHASE, CARTERSVILLE, GA 30120-8520
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
422210-1
NY
163W00000X
Registered Nurse
Primary
RN234599
GA
Other
Enumeration date
06/05/2017
Last updated
11/23/2019
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