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Alexis Byrd Fountain, FNP-C
Family Nurse Practitioner in Vidalia, Georgia
NPI 1821724386

Alexis Byrd Fountain is a Family Nurse Practitioner based in Tarrytown, GA and is specialized in Family. Alexis Byrd Fountain practices in Vidalia, GA and has the professional credentials of FNP-C. The NPI Number for Alexis Byrd Fountain is 1821724386 and holds a License No. RN274392 (Georgia).

The current practice location address for Alexis Byrd Fountain is 122 Alice Coleman Drive, Vidalia, GA and can be reached out via phone at 912-805-2273.

Location: 122 Alice Coleman Drive, Vidalia, GA, 30470
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821724386
Provider Name
Alexis Byrd Fountain
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
122 Alice Coleman Drive, Vidalia, GA, 30470
Phone Number
912-805-2273
Fax Number
Provider Enumeration Date
07/27/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
122 Alice Coleman Drive
City
Vidalia
State
Georgia
Zip
30474
Phone Number
912-805-2273
Fax Number
person
Provider Business Mailing Address Details
Address
122 Alice Coleman Drive
City
Vidalia
State
Georgia
Zip
30474
Phone Number
912-805-2273
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
RN274392 (Georgia)
Definition
Definition to come...
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