Search › Georgia › 363A00000X

Carline Fenelus, PA

NPI 1447342688 · on the registry since 2006

Practice

Address
6600 Van Aalst Blvd
Fort Moore, GA 31905
Phone
(706) 544-8830
Fax
(762) 408-8169
Clinicians at this address
149

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
363A00000X
Licence states on file
NY, GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-01-28

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