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Search › Georgia › Psychiatric/Mental Health Nurse Practitioner

Fallon Wortham

NPI 1346010899 · on the registry since 2024

Practice

Address
110 Braxton Ct
Fayetteville, GA 30214
Phone
(770) 461-6422
Organisation at this address
Southern Behavioral Healthcare,P.C
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-01-05

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