person
Fallon Wortham
Psychiatric/Mental Health Nurse Practitioner in Fayetteville, Georgia
NPI 1346010899

Fallon Wortham is a Psychiatric/Mental Health Nurse Practitioner based in Newnan, GA and is specialized in Psychiatric/Mental Health. Fallon Wortham practices in Fayetteville, GA. The NPI Number for Fallon Wortham is 1346010899 and holds a License No. 191643 (Georgia).

The current practice location address for Fallon Wortham is 110 Braxton Ct, Fayetteville, GA and can be reached out via phone at 770-461-6422. You can also correspond with Fallon Wortham through the mailing address at 9 PINE GROVE CIR, NEWNAN, GA - 30263-2897 (mailing address contact number: 678-516-1160).

Location: 110 Braxton Ct, Fayetteville, GA, 30263-2897
person
Provider Profile Details
NPI Number
1346010899
Provider Name
Fallon Wortham
Credential
Provider Entity Type
Individual
Gender
Female
Address
110 Braxton Ct, Fayetteville, GA, 30263-2897
Phone Number
770-461-6422
Fax Number
Provider Enumeration Date
01/05/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
110 Braxton Ct
City
State
Zip
30214-1968
Phone Number
770-461-6422
Fax Number
person
Provider Business Mailing Address Details
Address
110 Braxton Ct
City
State
Zip
30214-1968
Phone Number
770-461-6422
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
191643 (Georgia)
Definition
Definition to come...
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