Search › Georgia › 363LF0000X
Justin Fender, R-NP
NPI 1164772372 · on the registry since 2012
Practice
- Address
- 1400 Peterson Ave N
Suite C
Douglas, GA 31533 - Phone
- (912) 384-4000
- Fax
- (912) 384-4029
- Organisation at this address
- Region Xi Field Fiscal Office
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-12-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia