Individual
MRS. ALISON LEIGH OSBORN FUGARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1700 HOSPITAL SOUTH DR, SUITE 300, AUSTELL, GA 30106-6810
(770) 944-2830
(678) 581-7170
Mailing address
1700 HOSPITAL SOUTH DR, SUITE 300, AUSTELL, GA 30106-6810
(770) 944-2830
(678) 581-7170
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
004762
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
690269967A
—
GA
05
—
690269967B
—
GA
05
—
690269967C
—
GA
Enumeration date
04/10/2006
Last updated
05/15/2014
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