Individual
JULIE FAIRCLOTH OTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1544 BASS RD, MACON, GA 31210-7510
(828) 693-4186
Mailing address
1544 BASS RD, MACON, GA 31210-7510
(866) 389-2727
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN198802
GA
Other
Enumeration date
09/25/2021
Last updated
12/12/2025
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