Search › Georgia › 122300000X
Matthew Fuqua
NPI 1417685694 · on the registry since 2022
Practice
- Address
- 4020 Elnora Dr
Macon, GA 31210 - Phone
- (478) 477-1228
- Organisation at this address
- North Macon Dental Associates
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-08-15
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