SearchGeorgia363A00000X

Megan Fonclara

NPI 1316763014 · on the registry since 2024

Practice

Address
1669 Bridge Creek Rd
Tiger, GA 30576
Phone
(706) 982-9487

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
133V00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-03-18

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