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Jeffrey Fargason
NPI 1508243817 · on the registry since 2015 · sole proprietor
Practice
- Address
- 917 N Indian Creek Dr
Clarkston, GA 30021 - Phone
- (404) 299-1141
- Fax
- (404) 299-8195
- Organisation at this address
- Robert H. Baker
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 237700000X
237700000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-05-06
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