person
Mrs. Elena Victoria Fercilien, PA-C
Medical Physician Assistant in Watkinsville, Georgia
NPI 1538636592

Elena Victoria Fercilien is a Medical Physician Assistant based in Watkinsville, GA and is specialized in Medical. Elena Victoria Fercilien practices in Watkinsville, GA and has the professional credentials of PA-C. The NPI Number for Elena Victoria Fercilien is 1538636592 and holds a License No. 9277 (Georgia).

The current practice location address for Elena Victoria Fercilien is 1361 Jennings Mill Rd Ste 201, Watkinsville, GA and can be reached out via phone at 706-316-1908 and via fax at 706-316-2062.

Location: 1361 Jennings Mill Rd Ste 201, Watkinsville, GA, 30677-7292
person
Provider Profile Details
NPI Number
1538636592
Provider Name
Elena Victoria Fercilien
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1361 Jennings Mill Rd Ste 201, Watkinsville, GA, 30677-7292
Phone Number
706-316-1908
Fax Number
706-316-2062
Provider Enumeration Date
10/29/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00958625A 05 GA
institution
Provider Business Practice Location Address Details
Address
1361 Jennings Mill Rd Ste 201
City
State
Zip
30677-7292
Phone Number
706-316-1908
Fax Number
706-316-2062
person
Provider Business Mailing Address Details
Address
1361 Jennings Mill Rd Ste 201
City
State
Zip
30677-7292
Phone Number
706-316-1908
Fax Number
706-316-2062
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
9277 (Georgia)
Definition
Definition to come...
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