Individual
MR. JAMES BEAULIERE FERCILIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
195 KING AVE, ATHENS, GA 30606-6736
(706) 549-8306
(706) 549-8351
Mailing address
1357 OCONEE CONNECTOR BLDG300, WATKINSVILLE, GA 30677-7314
(706) 549-8306
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/18/2018
Last updated
03/19/2019
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