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Jerrell Fang
Student in an Organized Health Care Education/Training Program in Gainesville, Georgia
NPI 1134979263

Jerrell Fang is a Student in an Organized Health Care Education/Training Program based in Gainesville, GA. Jerrell Fang practices in Gainesville, GA. The NPI Number for Jerrell Fang is 1134979263 and holds a License No. (Georgia).

The current practice location address for Jerrell Fang is 743 Spring St Ne, Gainesville, GA and can be reached out via phone at 770-219-9000.

Location: 743 Spring St Ne, Gainesville, GA, 30501-3715
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134979263
Provider Name
Jerrell Fang
Credential
Provider Entity Type
Individual
Gender
Male
Address
743 Spring St Ne, Gainesville, GA, 30501-3715
Phone Number
770-219-9000
Fax Number
Provider Enumeration Date
03/22/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
743 Spring St Ne
City
Gainesville
State
Georgia
Zip
30501-3715
Phone Number
770-219-9000
Fax Number
person
Provider Business Mailing Address Details
Address
743 Spring St Ne
City
Gainesville
State
Georgia
Zip
30501-3715
Phone Number
770-219-9000
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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