SearchGeorgia363LA2100X

Mai Fujimoto

NPI 1205755295 · on the registry since 2026 · sole proprietor

Practice

Address
450 Georgia Ave Ste B
Statesboro, GA 30458
Phone
(912) 871-2200
Organisation at this address
East Georgia Nephrology, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Additional practice sites

  • 306 Maple Dr, Vidalia, GA

Registry record

Primary taxonomy
363LA2100X
363LA2100X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-07-13

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